Appletree Child Development Center

G.S. 110-91 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: 0725-074L Visit Date: 7/15/2025 Number Present: 71 Completed Date: 7/15/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 10:45 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this visit was to investigate allegations of non-compliance with the NC Child Care Requirements. A report was received by the Division of Child Development and Early Education (DCDEE) on July 7, 2025, regarding concerns involving nurture and care, supervision, sanitation and health. I, Kimberly Girouard, received the report on July 7, 2025. I arrived at the facility at 10:45 am on the morning of July 15, 2025, and was greeted by the administrative team, Ms. Ana Martinez and Ms. Donelle Ragan. I shared the complaint allegations regarding nurture and care, supervision, and sanitation/health with the administrative team, proceeded with my walkthrough of the facility and conducted interviews with staff members during my walkthrough of the classrooms. Allegation #1 There is a concern that a staff member did not redirect a child in a nurturing and caring manner. Per the reporter, on June 26, 2025, between 8:15am – 8:45am, the reporter witnessed a staff member place her hand on top of a child’s head and push the child down toward a chair to sit down. The reporter did not see any marks but felt what occurred was aggressive. The reporter stated there are cameras in the facility, however they are not working. The reporter stated the employee in question stated to the reporter that the child was active, and the employee in question wanted the child to calm down. The reporter stated when this occurred the older children were about to participate in their graduation ceremony. The reporter informed the director, Donelle, of what she witnessed and was told they would look into it. Per the reporter, when the child’s mother arrived on the morning of June 27, 2025, around 8:45am, for the graduation ceremony, the reporter informed her of the concerns of what the reporter stated she had witnessed. The reporter stated the parent asked to view the camera footage and was denied. Per the reporter, the employee in question was supposed to be suspended as of 6/30/2025, pending the completion of an investigation. During today’s visit the facility administrative team, Ms. Ragan and Ms. Martinez, stated on June 27, 2025, at 4:30pm the parent of the child in question made director, Ana Martinez aware of the incident discussed above for the first time. Ms. Martinez and Ms. Ragan stated today that June 27, 2025 was the first time this incident was brought to their attention. Ms. Martinez and Ms. Ragan stated that they immediately conducted an internal investigation. Ms. Martinez stated on June 27, 2025, around 4:30pm the parent of the child mentioned in the report informed Ms. Martinez that another teacher mentioned she needed to look at camera footage from between 8:15am – 8:45 am from June 26, 2025, because she was told another teacher handled her child in an inappropriate manner. Ms. Martinez immediately tried to access the video footage and discovered the cameras were not working. The teacher in question had left for the day. Ms. Martinez called the teacher in question around 6:00 pm, informed her of the allegations made regarding her actions and stated the cameras were not working and until a full investigation was conducted, she could not return to work. Ms. Martinez also informed the teacher that had made the parent aware of the incident that the cameras were not working and that the incident would be thoroughly investigated once the cameras were fixed. The parent requested to have her children transferred to another Appletree Child Care center during this investigation and Ms. Martinez and Ms. Ragan agreed and transferred the children on June 30, 2025, to another Appletree location. On July 7, 2025, the cameras were fixed; Ms. Martinez and Ms. Ragan watched the footage and had the parent of the child involved in the incident come over to watch the footage. Also on July 7, 2025, both Ms. Martinez and Ms. Ragan had a conference call with the employee in question and informed her due to the video footage she could no longer work at the facility and terminated her employment with Appletree Child Development Center. During today’s visit I was able to watch the video footage from June 26, 2025, and I did observe the teacher in question walking across the classroom holding the hand of the child in question and placed him in a chair next to the chair the teacher in question was sitting in. Ms. Martinez stated today that the teacher in question stated she had the child sitting next to her because the child was putting all the toys in his mouth. While watching the video footage, I did observe the teacher in question put her hand on the child’s head and push the child back into the seat. A police report regarding this incident was filed and at the time that the report was conducted, no charges were filed. During today’s visit children were attended to in a nurturing manner and in keeping with children’s developmental needs. Based on the information collected during the interview and investigation process, the allegation concerning nurture and care was substantiated and must be corrected immediately. See violation below. Allegation #2 There is a concern that children are not being supervised properly. According to the reporter, the same child mentioned above was assigned to the infant room in December 2024 and after 4pm on December 17, 2024, the same child mentioned above walked out of the infant room unsupervised and walked into the classroom occupied by Pre K students. The video footage the facility collects only goes back 30 days, so I was not able to view footage from December 17, 2024. I asked the teachers that work in the same hallway as the infant room and the preschool classroom, if they ever observed an infant walk unsupervised from the infant room into the preschool room and all the staff informed me that they have not observed any child walk from the infant room into the preschool room unattended. Based on the information collected through this investigation, the violation involving supervision was UNSUBSTANTIATED. Allegation #3 There is a concern that sanitation rules and laws are not being followed. The reporter has concerns regarding sanitation. The reporter stated on June 18, 2025, a staff member used a mop to clean the floor because a child vomited. Per reporter, the staff left for the day, leaving the mop and bucket accessible to children. Per the reporter, the staff member did not replenish the water the mop was in, expecting the reporter to mop the classroom with a mop and water used to clean up vomit. The reporter stated that the teacher did not provide clean water for the reporter to mop with also leaves trash in the classroom from breakfast through evening snack, in her classroom overnight. Throughout my walkthrough of the facility today I did not observe any mops in buckets of water in any classroom. I observed the mop closet, that was locked during my visit and inaccessible to the children, and I observed dirty mops in the washsink and many clean mop heads in a bin for the teachers to use along with additional mop handle attachments. Through staff interviews conducted today I was informed that after the mops are used the teachers return the dirty mop to the mop closet and will go to the same mop closet to retrieve clean mop heads when necessary. Based on the information collected through this investigation, the violation involving sanitation was UNSUBSTANTIATED. One violation was cited during today’s visit and must be corrected immediately. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. While observing video footage from June 26, 2025, I did observe a teacher put her hand on a child’s head and push the child back into the chair the child was sitting on. G.S. 110-91(10) The following were discussed with you during today’s visit: The above violation must be corrected immediately, and a corrective action letter must be sent to me no later than July 29, 2025. The corrective action letter must describe accurately and in detail and include how and when the violation was corrected and a plan to prevent future violations. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. My mailing address is: PO Box 1184, Wake Forest, NC 27588 or a corrective action letter can be emailed to: Kimberly.Girouard@dhhs.nc.gov. *A follow-up visit will be made in the near future to monitor for compliance. *Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance was provided with the following suggestions that may be beneficial: *Please have a mandatory staff meeting to reiterate to the staff the importance of maintaining compliance with all child care requirements for the safety of the children. *Nurture & Care: Discipline practices need to be age and developmentally appropriate. Children need adults to teach, guide, and support them as they grow and learn. Caregivers play an important role in guiding children’s behavior in positive, supportive, and age-appropriate ways. All staff need to be committed to creating a safe, developmentally appropriate environment that prioritizes the children’s well-being and growth. Each child should be treated respectfully and provided with a warm, responsive, and empathetic atmosphere where they feel safe to explore, learn and express themselves. Resources: *Supervision: Supervision was mentioned in the complaint report but found to be unsubstantiated during today’s visit. I did leave a handout titled “Active Supervision at-a-Glance - SIX STRATEGIES TO KEEP CHILDREN SAFE was provided today as a resource. Children shall be adequately supervised at all times. Adequate supervision shall mean that staff interact with the children while moving about the indoor or outdoor areas and are able to always hear and see the children, except when emergencies necessitate that direct supervision is impossible for brief periods of time. *Please visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Contact me if you have questions or concerns: Kimberly Girouard PO Box 1184, Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov (919) 602-2582 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: 0725-074L Visit Date: 7/15/2025 Number Present: 71 Completed Date: 7/15/2025 Age: From 0 To 12 Total Minutes: 315 Time In: 10:45 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this visit was to investigate allegations of non-compliance with the NC Child Care Requirements. A report was received by the Division of Child Development and Early Education (DCDEE) on July 7, 2025, regarding concerns involving nurture and care, supervision, sanitation and health. I, Kimberly Girouard, received the report on July 7, 2025. I arrived at the facility at 10:45 am on the morning of July 15, 2025, and was greeted by the administrative team, Ms. Ana Martinez and Ms. Donelle Ragan. I shared the complaint allegations regarding nurture and care, supervision, and sanitation/health with the administrative team, proceeded with my walkthrough of the facility and conducted interviews with staff members during my walkthrough of the classrooms. Allegation #1 There is a concern that a staff member did not redirect a child in a nurturing and caring manner. Per the reporter, on June 26, 2025, between 8:15am – 8:45am, the reporter witnessed a staff member place her hand on top of a child’s head and push the child down toward a chair to sit down. The reporter did not see any marks but felt what occurred was aggressive. The reporter stated there are cameras in the facility, however they are not working. The reporter stated the employee in question stated to the reporter that the child was active, and the employee in question wanted the child to calm down. The reporter stated when this occurred the older children were about to participate in their graduation ceremony. The reporter informed the director, Donelle, of what she witnessed and was told they would look into it. Per the reporter, when the child’s mother arrived on the morning of June 27, 2025, around 8:45am, for the graduation ceremony, the reporter informed her of the concerns of what the reporter stated she had witnessed. The reporter stated the parent asked to view the camera footage and was denied. Per the reporter, the employee in question was supposed to be suspended as of 6/30/2025, pending the completion of an investigation. During today’s visit the facility administrative team, Ms. Ragan and Ms. Martinez, stated on June 27, 2025, at 4:30pm the parent of the child in question made director, Ana Martinez aware of the incident discussed above for the first time. Ms. Martinez and Ms. Ragan stated today that June 27, 2025 was the first time this incident was brought to their attention. Ms. Martinez and Ms. Ragan stated that they immediately conducted an internal investigation. Ms. Martinez stated on June 27, 2025, around 4:30pm the parent of the child mentioned in the report informed Ms. Martinez that another teacher mentioned she needed to look at camera footage from between 8:15am – 8:45 am from June 26, 2025, because she was told another teacher handled her child in an inappropriate manner. Ms. Martinez immediately tried to access the video footage and discovered the cameras were not working. The teacher in question had left for the day. Ms. Martinez called the teacher in question around 6:00 pm, informed her of the allegations made regarding her actions and stated the cameras were not working and until a full investigation was conducted, she could not return to work. Ms. Martinez also informed the teacher that had made the parent aware of the incident that the cameras were not working and that the incident would be thoroughly investigated once the cameras were fixed. The parent requested to have her children transferred to another Appletree Child Care center during this investigation and Ms. Martinez and Ms. Ragan agreed and transferred the children on June 30, 2025, to another Appletree location. On July 7, 2025, the cameras were fixed; Ms. Martinez and Ms. Ragan watched the footage and had the parent of the child involved in the incident come over to watch the footage. Also on July 7, 2025, both Ms. Martinez and Ms. Ragan had a conference call with the employee in question and informed her due to the video footage she could no longer work at the facility and terminated her employment with Appletree Child Development Center. During today’s visit I was able to watch the video footage from June 26, 2025, and I did observe the teacher in question walking across the classroom holding the hand of the child in question and placed him in a chair next to the chair the teacher in question was sitting in. Ms. Martinez stated today that the teacher in question stated she had the child sitting next to her because the child was putting all the toys in his mouth. While watching the video footage, I did observe the teacher in question put her hand on the child’s head and push the child back into the seat. A police report regarding this incident was filed and at the time that the report was conducted, no charges were filed. During today’s visit children were attended to in a nurturing manner and in keeping with children’s developmental needs. Based on the information collected during the interview and investigation process, the allegation concerning nurture and care was substantiated and must be corrected immediately. See violation below. Allegation #2 There is a concern that children are not being supervised properly. According to the reporter, the same child mentioned above was assigned to the infant room in December 2024 and after 4pm on December 17, 2024, the same child mentioned above walked out of the infant room unsupervised and walked into the classroom occupied by Pre K students. The video footage the facility collects only goes back 30 days, so I was not able to view footage from December 17, 2024. I asked the teachers that work in the same hallway as the infant room and the preschool classroom, if they ever observed an infant walk unsupervised from the infant room into the preschool room and all the staff informed me that they have not observed any child walk from the infant room into the preschool room unattended. Based on the information collected through this investigation, the violation involving supervision was UNSUBSTANTIATED. Allegation #3 There is a concern that sanitation rules and laws are not being followed. The reporter has concerns regarding sanitation. The reporter stated on June 18, 2025, a staff member used a mop to clean the floor because a child vomited. Per reporter, the staff left for the day, leaving the mop and bucket accessible to children. Per the reporter, the staff member did not replenish the water the mop was in, expecting the reporter to mop the classroom with a mop and water used to clean up vomit. The reporter stated that the teacher did not provide clean water for the reporter to mop with also leaves trash in the classroom from breakfast through evening snack, in her classroom overnight. Throughout my walkthrough of the facility today I did not observe any mops in buckets of water in any classroom. I observed the mop closet, that was locked during my visit and inaccessible to the children, and I observed dirty mops in the washsink and many clean mop heads in a bin for the teachers to use along with additional mop handle attachments. Through staff interviews conducted today I was informed that after the mops are used the teachers return the dirty mop to the mop closet and will go to the same mop closet to retrieve clean mop heads when necessary. Based on the information collected through this investigation, the violation involving sanitation was UNSUBSTANTIATED. One violation was cited during today’s visit and must be corrected immediately. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. While observing video footage from June 26, 2025, I did observe a teacher put her hand on a child’s head and push the child back into the chair the child was sitting on. G.S. 110-91(10) The following were discussed with you during today’s visit: The above violation must be corrected immediately, and a corrective action letter must be sent to me no later than July 29, 2025. The corrective action letter must describe accurately and in detail and include how and when the violation was corrected and a plan to prevent future violations. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. My mailing address is: PO Box 1184, Wake Forest, NC 27588 or a corrective action letter can be emailed to: Kimberly.Girouard@dhhs.nc.gov. *A follow-up visit will be made in the near future to monitor for compliance. *Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance was provided with the following suggestions that may be beneficial: *Please have a mandatory staff meeting to reiterate to the staff the importance of maintaining compliance with all child care requirements for the safety of the children. *Nurture & Care: Discipline practices need to be age and developmentally appropriate. Children need adults to teach, guide, and support them as they grow and learn. Caregivers play an important role in guiding children’s behavior in positive, supportive, and age-appropriate ways. All staff need to be committed to creating a safe, developmentally appropriate environment that prioritizes the children’s well-being and growth. Each child should be treated respectfully and provided with a warm, responsive, and empathetic atmosphere where they feel safe to explore, learn and express themselves. Resources: *Supervision: Supervision was mentioned in the complaint report but found to be unsubstantiated during today’s visit. I did leave a handout titled “Active Supervision at-a-Glance - SIX STRATEGIES TO KEEP CHILDREN SAFE was provided today as a resource. Children shall be adequately supervised at all times. Adequate supervision shall mean that staff interact with the children while moving about the indoor or outdoor areas and are able to always hear and see the children, except when emergencies necessitate that direct supervision is impossible for brief periods of time. *Please visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Contact me if you have questions or concerns: Kimberly Girouard PO Box 1184, Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov (919) 602-2582 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: 0824-215L Visit Date: 8/19/2024 Number Present: 0 Completed Date: 8/19/2024 Age: From 0 To 0 Total Minutes: 300 Time In: 10:15 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of non-compliance with the NC Child Care Requirements. A report was received by the agency on August 15, 2024. Upon arrival, I was greeted by the co-directors, Ms. Donnell Ragan and Ms. Ana Martinez. I was informed today that it was the facility’s Staff Development Day and no children were present in the building. I explained the purpose of my visit and discussed the allegations with Ms. Ragan and Ms. Martinez. An anonymous complaint was reported related to inadequate supervision. ALLEGATION 1 There is a concern related to inadequate supervision. OBSERVATIONS AND DISCUSSIONS Per reporter, on August 14, 2024, between 9am and 11am, a young child was left outside on the playground unattended. Per reporter it appeared that the teachers forgot the child. The reporter stated the child appeared to be about three-years old. The reporter stated the child was left outside for approximately five to ten minutes. According to the reporter, the director was notified of the incident by other staff members, but it appears that no action was taken. The reporter stated it was unknown if the child’s parents were made aware of the incident. Today I discussed the specifics of the allegations with the co-directors, Ms. Ragan and Ms. Martinez and they informed me that a 3-year-old child was left unattended on the playground, located right outside of the child’s classroom, on the morning of August 14, 2024. On the day of the incident there were three staff assigned to the Beavers classroom with 11 children. One staff member was inside the classroom when the two other staff were transitioning the children from the playground into the classroom. The administrators and the Beavers classroom teachers stated a head count was conducted on the playground, which I did observe on the video footage, but no head count was conducted when all the children and staff entered the classroom. When the children entered the classroom after coming off the playground at 10:03 am they started hand washing and toileting procedures and again no head count or name to face check was conducted to confirm all children were accounted for. After watching video footage from August 14, 2024 I was able to confirm the child was left on the playground for 15 minutes, from 10:03 am – 10:18 am. I observed the child on the video unattended, walking around the fenced in playground and playing with toys. This facility shares a fence with one of their sister facilities and at 10:15 am on August 14, 2024, one of the staff from their sister facility observed the three-year-old child alone on the playground. There were no other staff or children on the playground with the child after the child’s class went inside. The staff member that observed the child on the playground immediately informed her director of the sister facility and that director immediately walked down to the facility. As the director from the sister facility entered the first playground off the parking lot, the Infant play yard, she had the teacher on that yard immediately go to the child that had been left on the playground. The teacher found the child at the child’s classroom door knocking on the door. When the Infant teacher reached the child, she confirmed the child was ok and took him to the director’s office where both co-directors, Ms. Ragan and Ms. Martinez, were conducting a meeting with other staff. Co-Director, Ms. Martinez walked the child back to the child’s classroom and then she and Ms. Ragan, the other co-director, met with the director from their sister facility to get a clear understanding what was observed by she and her staff member. Co-Director, Ms. Martinez stated after, speaking with the director from their sister facility she and co-director, Ms. Ragan proceeded to watch video footage of the incident which they shared took about 20 minutes. The co-directors stated they then contacted their facility owner, Ms. Carolyn Driggers. Co-Director, Ms. Martinez, stated the owner, Ms. Driggers asked them to immediately call the child’s parent which they stated that was the next step they were going to take. The call was placed to the child’s parent around 11:30am. Ms. Ragan stated she informed the child’s mother her child was left unsupervised on the playground but that her child was ok and was back with their classroom. Co-Director, Ms. Ragan stated the child’s mother picked up the child that day at her normal pick-up time and has been following his normal schedule since then. I reviewed the facilities current “Adequate Supervision Policy” which states; “Staff are required to count their children on the playground, at a minimum every 15 minutes, this is a practice that all staff should do in their classroom as well, documentation on the daily headcount sheet will be every 30 minutes with all the teachers assigned to the classroom initialing.” The staff in the Beavers classroom did not follow the required policy on August 14, 2024. RESOLUTION Based on my observations and discussions with the administrators and Beavers classroom staff at Appletree Child Development Center, the allegations related to supervision have been determined to be SUBSTANTIATED. Violation Number Comment Rule 303 Children were not adequately supervised at all times. A three year old child was left outside on the playground unattended for approximately fifteen minutes. .1801(a)(1-5) TECHNICAL ASSISTANCE/COMMENTS The suggestions I offered, completing additional supervision training and the management team monitoring the required face to name head counts throughout the day in every classroom, have already been established. Co-Director, Ms. Martinez informed me she and Ms. Ragan now randomly visit each class to confirm all staff are following the Head Count policy to confirm it is up to date and accurate throughout the day. Deadlines have been put in place to complete required training set forth by the facility owner Ms. Carolyn Driggers. Co-Directors, Ms. Ragan and Ms. Martinez, shared an email with me today that was sent to them from the facility owner, Ms. Driggers, at 1:13 pm August 14, 2024, that included mandatory training for all the Beavers classroom staff, Ms. Tucker, Ms. Mills, and Ms. Morgan as well as both administrators. The three Beavers staff, are required to complete the following Pro-Solutions trainings no later than August 23, 2024: The Art of Transitions (1hr.) Essentials of Outdoor Safety (2hrs.) Essentials of Indoor Safety (2hrs.) Classroom Management 101 (1 hr.) Telamon -TRC Active Supervision Policy and Procedures (1 hr.) Both Co-Directors, Ms. Ragan and Ms. Martinez, are required to complete the following Pro Solutions trainings by September 13, 2024: Quality Initiatives: Pathways to Best Practices in Early Childhood & Education (1 hr. ) Director Training: Leading Your Program (40 hrs.) A supervision violation was cited today. This facility currently has an open Administrative Action, one of the reasons being for supervision which was found to be out of compliance on May 31, 2024. This additional violation for supervision may lead to a more stringent administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 3, 2024 (Monday September 2, 2024, is a holiday and Appletree Child Development Center and the Division of Child Development and Early Education will be closed in observance of Labor Day). I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violation was corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Kimberly Girouard PO Box 1184 Wake Forest, NC 27588 Kimberly.Girouard@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-602-2582 or email at Kimberly.Girouard@dhhs.nc.gov. You can also contact my supervisor Michele Remington at by email at Michele.Remington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: 0524-268L Visit Date: 5/31/2024 Number Present: 81 Completed Date: 5/31/2024 Age: From 0 To 8 Total Minutes: 450 Time In: 09:45 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of non-compliance with the NC Child Care Requirements. A report was received by the agency on May 20, 2024. Upon arrival, I was greeted by the co-director, Ms. Donnell Ragan and Ms. Ragan accompanied me throughout my walkthrough of the facility. Co-director, Ms. Ana Martinez arrived about an hour after I started my visit. I explained the purpose of my visit and discussed the allegations with Ms. Ragan and Ms. Martinez. There are concerns related to sanitation and health, inadequate supervision, and that children are not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for infants. ALLEGATION 1 There is a concern related to sanitation and health. OBSERVATIONS AND DISCUSSIONS I discussed the specifics of the allegations with the Infant room 1 staff as well as the co-directors and observed the cleanliness of the center. I asked seven staff, individually, if they had observed dead bugs around the interior of the child care building. Each staff member stated they see an exterminator come to spray for bugs on a regular basis and the day after the exterminator sprays, they usually see the dead bugs but they are cleaned up immediately. During my walk through of the interior of the building I was told the exterminator came last night, Thursday, May 30, 2024, and I did observe two dead bugs in the hallway today but I also observed a staff member walking around the center throughout the morning sweeping the hallways and removing the bugs and other debris. There is a concern regarding the highchair trays in Infant Room 1 not being clean or sanitary before children are placed in the highchair for a meal/snack. I monitored the trays used on the highchairs. An infant had finished eating in one of the highchairs before I entered Infant room 1. I observed one of the teachers cleaning and sanitizing the tray and later in the morning one of the co-directors took the tray to the kitchen to be properly sanitized. RESOLUTION Based on my observations and discussions with the administrators and staff at the child care center, the allegations related to health and sanitation have been determined to be UNSUBSTANTIATED. ALLEGATION #2 There is a concern about inadequate supervision. OBSERVATIONS AND DISCUSSIONS There is a concern that an infant crawled out of Infant Room 1 on the evening of May 17, 2024, without the staff noticing the infant was no longer in the classroom. I conducted individual interviews with the Infant room 1 staff as well as the facility co-directors, Ms. Ragan and Ms. Martinez, and asked each staff member if they were aware of or observed an infant crawl out the door of Infant Room 1 into the hallway on Friday, May 17, 2024. Co-director, Ms. Martinez, stated she was the administrator on duty when the incident occurred. I was told by the infant teachers that on the night of Friday, May 17, 2024, one of the babies was pulling itself up using one of the shelving units for support and fell back. The teachers stated one of them immediately picked up the infant that had fallen back on the floor and the other staff member went to the freezer to grab an ice pack and the child’s bottle. The staff stated as this was happening, the mother of the baby that had fallen was walking into the classroom. The staff stated the mother put her child’s car seat down in front of the door leading into the Infant room 1 classroom leaving the door open to the hallway. As the mother of the infant that had fallen was collecting her child’s belongings and the Infant room 1 teachers were making sure the infant that had fallen was ok, the infant in question crawled out the classroom door into the hallway. The teachers stated they saw the infant crawling out into the hallway. As this was happening one of the Infant room 1 teachers was trying to hand the other Infant room 1 teacher the baby that had fallen so she could get the infant that had crawled out in the hallway. As the teacher entered the hallway, she saw the infant with her mother who was walking down the hallway. I was able to observe this incident on the facility’s video footage during today’s visit and observed this entire incident to occur over the course of 35 seconds. I spoke with the co-directors, Ms. Donnell Ragan and Ms. Ana Martinez, and they both confirmed the same account the Infant room 1 staff shared with me. During my observation of the Infant room 1 class today, I observed the same two teachers in the classroom, which were in the classroom the day of the incident, caring for the children. I observed the teachers taking the children outside and providing appropriate supervision during my visit today. RESOLUTION Based on my discussions today with the Infant room 1 staff and the facility administrators as well as the video footage I watched during today’s visit, the allegation related to supervision has been determined to be SUBSTAINTIATED. ALLEGATION #3 There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for infants. OBSERVATIONS AND DISCUSSIONS I discussed the specifics of the allegation with the staff in the room for infants and co-directors. There is a concern that the infant in question was not given fluids throughout the day on May 7, 2024. There is also a concern as to when the infant was fed on Friday, May 10, 2024, and when the infant in question slept on Friday, May 10, 2024. I requested to review the feeding schedule and sleep charts completed during the time the infant in question was enrolled in the program and found them to be complete and in compliance. This facility uses the Lilo app to document what and when the infant eats and when they nap. The parent of the child involved stated she requested documentation of when her child slept and when and what she ate but that she never received any information. The teachers in her child’s room stated they did upload information into the Lilo app during the child’s enrollment. There are also concerns that the staff tell the infants to “shut up” and talk mean to the infants and become frustrated and do not sooth the infants when they are upset and crying. I interviewed five staff members today and discussed the concerns mentioned in the complaint. During the interview process I was informed by staff members that they have observed the staff in Infant room 1 using an inappropriate tone when addressing the infants and using inappropriate redirection tactics when managing difficult behaviors involving the infants. I was informed that the teachers in Infant room 1 have been observed not meeting the infants’ developmental needs when they are crying or upset. I was also informed today that the teachers in Infant room 1 have been observed buckling infants in a chair and putting infants in a highchair or bouncy seat when they do not want to address the needs of the infant or if the infant is behaving in a manner they do not want to deal with. When I shared this information with the co-directors, they both stated no staff has ever brought these concerns to them nor have they observed these behaviors from the staff in Infant room 1. During the visit today, I did not observe staff using inappropriate tones or discipline techniques with the children. RESOLUTION Based on my discussions with staff members this allegation of children were not attended to in a nurturing and appropriate manner or in keeping with the children’s developmental needs in the classroom for infants has been determined to be SUBSTAINTIATED. Violation Number Comment Rule 303 Children were not adequately supervised at all times. An infant child crawled out of the infant classroom and into the hallway and was unsupervised by facility staff for 35 seconds. .1801(a)(1-5) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Staff members have observed the staff in Infant room 1 using an inappropriate tone when addressing the infants and using inappropriate redirection tactics when managing difficult behaviors involving the infants. Teachers in Infant room 1 have been observed not meeting the infants’ developmental needs when they are crying or upset. G.S. 110-91(10) 1877 A child was restrained as a form of discipline and the child's safety or the safety of others was not at risk. The teachers in Infant room 1 have been observed buckling infants in a chair and putting infants in a highchair or bouncy seat when they do not want to address the needs of the infant or if the infant is behaving in a manner they do not want to deal with. .1803(a)(10) TECHNICAL ASSISTANCE: Ms. Martinez had to leave the facility before I was able to conclude my visit today. I reviewed the entire report with co-director, Ms. Ragan, before leaving the facility today. I suggested, if the current teachers remain in Infant room 1, that an additional teacher with strong mentoring skills be placed in the classroom as well, allowing appropriate classroom management skills to be observed. I also suggested the current Infant room 1 teachers complete a variety of trainings in appropriate classroom management skills, supervision, appropriate ways to manage and support infant behaviors, how to manage stressful days in the classroom, interacting with infants in a nurturing manner, and meeting the developmental needs of infants/children. I suggested requesting the Infant room 1 teachers complete targeted training on the NCRLAP website focusing on the areas found out of compliance today. I highly recommended the directors reach out to Wake County Smart Start and request training targeted to caring for infants and meeting their developmental needs. Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due no later than June 14, 2024, and should be emailed to Kimberly Girouard at Kimberly.Girouard@dhhs.nc.gov. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-602-2582 or email at Kimberly.Girouard@dhhs.nc.gov. You can also contact my supervisor Michele Remington at by email at Michele.Remington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 62 Completed Date: 9/13/2023 Age: From 0 To 8 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival at the facility, I was greeted by the co-director’s, Ms. Ragan. and Ms. Ana Martinez. Ms. Ana Martinez accompanied me on my walk-through of the facility and Ms. Ragan assisted with the paperwork. LICENSE STATUS Currently this center operates with a Five Star license issued August 23, 2018. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire, and outdoor inspections. Each inspection was found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring each space occupied by children. Staff files were reviewed as well as a selection of children’s files. All indoor spaces were monitored for medication, storage of medication, required medical documentation, classroom supplies, supervision, staff/child ratios, materials, equipment and required postings. Three playgrounds were monitored today. During my walk-through of the facility there were 62 children present. I observed the children eating lunch, playing on the playground and going down for nap. The pre-k children were on a field trip when I arrived at the facility and returned later in the early afternoon. Throughout my walk-through of the program, I observed the staff engaged in the children’s activities while providing appropriate supervision. All the classrooms were found to be nicely equipped with age-appropriate materials. A checklist was used to note all areas monitored during the facility’s annual compliance visit. Three violations were cited during today's visit and two of the three violations were corrected during the visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. There is a metal lattice on the school age playground with sharp edges along the top. The wooden benches on the school age playground are splintering and have sharp nails exposed. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A large bag of potting soil was observed in an unlocked storage closet off of classroom 10. The director removed the potting soil and placed it in a locked closet. 10A NCAC 09 .0601(a) 1106 Each adult and child was not restrained by appropriate individual belt/device. Children were not restrained with a child safety seat appropriate to the child's age and weight in accordance with the state seat belt law when transported on the facility 15 passenger van and 15 passenger bus. GS 110-91(13) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 15 passenger bus had an expired inspection and the 15 passenger van had an expired inspection and expired registration. Each inspection was completed before the end of todays visit and the registration was renewed as well. .1002(b) CONSULTATION *During my visit today some questions regarding the use of car seats on the facility buses and van were raised. Further information is being researched regarding the use of car seats and when they are required based on the vehicle being used to transport the children. *I suggested to the infant staff that if an infant does not nap on any given day, they record that on that specific day on the child’s safe sleep chart. *I reminded the teachers to make sure the parents write their child’s name on any medication they leave at the school, this includes diaper creams. *I reminded the facility directors to remind the staff to confirm the outdoor play structures are not too hot before allowing the children to play on them. Rated License Appletree Child Development Center is in COHORT 1. Director's, Ms. Ragan and Ms. Martinez stated they understand they are now in her planning year but may choose to have their Rated License/ERS visit during this planning year. Prior to today’s visit I emailed resources to you that can be helpful as you begin preparing for your Rated License and Environmental Rating Scale visit. As discussed today, it is very important that all your staff create a WORKS account as soon as possible, if they have not already done so, and begin submitting any education that is not already documented in their WORKS account and continue to do so as they complete additional semester credit hours or degrees. The administrators stated they have contacted Wake County Smart Start to assist with the preparation for their Rated License/Environmental Rating Scale visit. A mock assessment is scheduled to be conducted in October 2023. Resources DCDEE in collaboration with other agencies have started a challenging behavior hotline. To Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom please call 1-888-600-1685 and choose Option 1. CORRECTIVE ACTION LETTER Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due no later than September 26, 2023, and should be emailed to: Kimberly Girouard at Kimberly.Girouard@dhhs.nc.gov. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-602-2582 or email at Kimberly.Girouard@dhhs.nc.gov. You can also contact my supervisor Michele Remington at Office: 919-819-9355 or by email at Michele.Remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 62 Completed Date: 9/13/2023 Age: From 0 To 8 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival at the facility, I was greeted by the co-director’s, Ms. Ragan. and Ms. Ana Martinez. Ms. Ana Martinez accompanied me on my walk-through of the facility and Ms. Ragan assisted with the paperwork. LICENSE STATUS Currently this center operates with a Five Star license issued August 23, 2018. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire, and outdoor inspections. Each inspection was found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring each space occupied by children. Staff files were reviewed as well as a selection of children’s files. All indoor spaces were monitored for medication, storage of medication, required medical documentation, classroom supplies, supervision, staff/child ratios, materials, equipment and required postings. Three playgrounds were monitored today. During my walk-through of the facility there were 62 children present. I observed the children eating lunch, playing on the playground and going down for nap. The pre-k children were on a field trip when I arrived at the facility and returned later in the early afternoon. Throughout my walk-through of the program, I observed the staff engaged in the children’s activities while providing appropriate supervision. All the classrooms were found to be nicely equipped with age-appropriate materials. A checklist was used to note all areas monitored during the facility’s annual compliance visit. Three violations were cited during today's visit and two of the three violations were corrected during the visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. There is a metal lattice on the school age playground with sharp edges along the top. The wooden benches on the school age playground are splintering and have sharp nails exposed. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A large bag of potting soil was observed in an unlocked storage closet off of classroom 10. The director removed the potting soil and placed it in a locked closet. 10A NCAC 09 .0601(a) 1106 Each adult and child was not restrained by appropriate individual belt/device. Children were not restrained with a child safety seat appropriate to the child's age and weight in accordance with the state seat belt law when transported on the facility 15 passenger van and 15 passenger bus. GS 110-91(13) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 15 passenger bus had an expired inspection and the 15 passenger van had an expired inspection and expired registration. Each inspection was completed before the end of todays visit and the registration was renewed as well. .1002(b) CONSULTATION *During my visit today some questions regarding the use of car seats on the facility buses and van were raised. Further information is being researched regarding the use of car seats and when they are required based on the vehicle being used to transport the children. *I suggested to the infant staff that if an infant does not nap on any given day, they record that on that specific day on the child’s safe sleep chart. *I reminded the teachers to make sure the parents write their child’s name on any medication they leave at the school, this includes diaper creams. *I reminded the facility directors to remind the staff to confirm the outdoor play structures are not too hot before allowing the children to play on them. Rated License Appletree Child Development Center is in COHORT 1. Director's, Ms. Ragan and Ms. Martinez stated they understand they are now in her planning year but may choose to have their Rated License/ERS visit during this planning year. Prior to today’s visit I emailed resources to you that can be helpful as you begin preparing for your Rated License and Environmental Rating Scale visit. As discussed today, it is very important that all your staff create a WORKS account as soon as possible, if they have not already done so, and begin submitting any education that is not already documented in their WORKS account and continue to do so as they complete additional semester credit hours or degrees. The administrators stated they have contacted Wake County Smart Start to assist with the preparation for their Rated License/Environmental Rating Scale visit. A mock assessment is scheduled to be conducted in October 2023. Resources DCDEE in collaboration with other agencies have started a challenging behavior hotline. To Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom please call 1-888-600-1685 and choose Option 1. CORRECTIVE ACTION LETTER Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due no later than September 26, 2023, and should be emailed to: Kimberly Girouard at Kimberly.Girouard@dhhs.nc.gov. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-602-2582 or email at Kimberly.Girouard@dhhs.nc.gov. You can also contact my supervisor Michele Remington at Office: 919-819-9355 or by email at Michele.Remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: APPLETREE CHILD DEVELOPMENT CENTER Facility ID: 92002330 Consultant: KIMBERLY GIROUARD Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 62 Completed Date: 9/13/2023 Age: From 0 To 8 Total Minutes: 405 Time In: 10:15 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Upon arrival at the facility, I was greeted by the co-director’s, Ms. Ragan. and Ms. Ana Martinez. Ms. Ana Martinez accompanied me on my walk-through of the facility and Ms. Ragan assisted with the paperwork. LICENSE STATUS Currently this center operates with a Five Star license issued August 23, 2018. INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire, and outdoor inspections. Each inspection was found to be in compliance. MONITORING During today’s visit, a full assessment was conducted, monitoring each space occupied by children. Staff files were reviewed as well as a selection of children’s files. All indoor spaces were monitored for medication, storage of medication, required medical documentation, classroom supplies, supervision, staff/child ratios, materials, equipment and required postings. Three playgrounds were monitored today. During my walk-through of the facility there were 62 children present. I observed the children eating lunch, playing on the playground and going down for nap. The pre-k children were on a field trip when I arrived at the facility and returned later in the early afternoon. Throughout my walk-through of the program, I observed the staff engaged in the children’s activities while providing appropriate supervision. All the classrooms were found to be nicely equipped with age-appropriate materials. A checklist was used to note all areas monitored during the facility’s annual compliance visit. Three violations were cited during today's visit and two of the three violations were corrected during the visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. There is a metal lattice on the school age playground with sharp edges along the top. The wooden benches on the school age playground are splintering and have sharp nails exposed. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. A large bag of potting soil was observed in an unlocked storage closet off of classroom 10. The director removed the potting soil and placed it in a locked closet. 10A NCAC 09 .0601(a) 1106 Each adult and child was not restrained by appropriate individual belt/device. Children were not restrained with a child safety seat appropriate to the child's age and weight in accordance with the state seat belt law when transported on the facility 15 passenger van and 15 passenger bus. GS 110-91(13) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The 15 passenger bus had an expired inspection and the 15 passenger van had an expired inspection and expired registration. Each inspection was completed before the end of todays visit and the registration was renewed as well. .1002(b) CONSULTATION *During my visit today some questions regarding the use of car seats on the facility buses and van were raised. Further information is being researched regarding the use of car seats and when they are required based on the vehicle being used to transport the children. *I suggested to the infant staff that if an infant does not nap on any given day, they record that on that specific day on the child’s safe sleep chart. *I reminded the teachers to make sure the parents write their child’s name on any medication they leave at the school, this includes diaper creams. *I reminded the facility directors to remind the staff to confirm the outdoor play structures are not too hot before allowing the children to play on them. Rated License Appletree Child Development Center is in COHORT 1. Director's, Ms. Ragan and Ms. Martinez stated they understand they are now in her planning year but may choose to have their Rated License/ERS visit during this planning year. Prior to today’s visit I emailed resources to you that can be helpful as you begin preparing for your Rated License and Environmental Rating Scale visit. As discussed today, it is very important that all your staff create a WORKS account as soon as possible, if they have not already done so, and begin submitting any education that is not already documented in their WORKS account and continue to do so as they complete additional semester credit hours or degrees. The administrators stated they have contacted Wake County Smart Start to assist with the preparation for their Rated License/Environmental Rating Scale visit. A mock assessment is scheduled to be conducted in October 2023. Resources DCDEE in collaboration with other agencies have started a challenging behavior hotline. To Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom please call 1-888-600-1685 and choose Option 1. CORRECTIVE ACTION LETTER Please submit a corrective action letter for the above violations. While the Division allows you time to explain how you have corrected violations when they are documented, it is expected that you correct all violations immediately. Your corrective action letter must include the following: Name of your program, Id number of your program, Date of Letter, Violation(s) number(s), and How and When each violation was corrected. Your letter is due no later than September 26, 2023, and should be emailed to: Kimberly Girouard at Kimberly.Girouard@dhhs.nc.gov. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-602-2582 or email at Kimberly.Girouard@dhhs.nc.gov. You can also contact my supervisor Michele Remington at Office: 919-819-9355 or by email at Michele.Remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times