Chesterbrook Academy

GS110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 88 Completed Date: 8/27/2025 Age: From 0 To 4 Total Minutes: 320 Time In: 11:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 6-30-25 with an “Superior” classification. The last approved fire inspection was conducted on 12-3-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Inc. was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed running about on the playground, in activity centers, at the table with manipulatives, and in group time as the caregivers read books to the children. The children rested on cots with linens and were observed completing toileting and handwashing routines. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed. Medications and permission to administer medications were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. .0606(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment. GS110-91(1) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In both classrooms of space #7 and space # 1 a can of soda was observed. .0901(i) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 9-10-25 stating how the violations have corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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 suggestion that may be beneficial: Infant Sleep Checks: Documented sleep visual checks every 15 minutes are crucial to minimize the risk of Sudden Infant Death Syndrome (SIDS) by ensuring infants are breathing normally and positioned safely while sleeping. The documentation provides a record that proper monitoring is occurring, which is required by child care requirements and is considered best practice for infant care. A sleep check form was provided for you today that may be easier for the caregiver to complete and maintain. It was suggested that management monitor the infant room daily to ensure that sleep checks are being documented and maintained for thirty (30) days as required. As well, monitor the count of these blank forms and when you see them running low, make additional copies. Modeling Healthy Eating Habits: - Role modeling plays a vital role in a child's development, and child care staff can help children learn healthy behaviors through modeling. Children learn by observing and copying the adults in their lives. The only beverages that should be in the classroom are beverages that the children can consume. It was suggested for staff to use drinking tumblers to pour their canned beverages into. The following were discussed with you during today’s visit: • Finish completing your staff/training worksheets and submit them asap. • Remember that permission slips and medical action plans are due soon for medications observed today. • Finish connecting your staff in the ABCMS Portal. You must contact NCID, (919) 754-6000, if staff are having trouble logging into the applicant portal. • Clean out the weeds in your garden beds where the tomatoes, squash, egg plants and strawberries are planted. • We discussed vinyl holding up better than wood for the casing of your plexiglass easel on the playground. • There was excessive paperwork in the files today. New paperwork for children is being completed every year and copies of the summary of the law and the shaken baby policy are in the files taking additional time to review files. Please consider removing paperwork in your files that does not have to be signed by parents or staff. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Today it was explained that you can review the QRIS requirements, which includes three pathways to choose for the new rated license process. Please take time to visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. To prepare for your transition into the new license, please get updated transcripts and submit them to the Workforce Unit, so current education is reflected in the WORKS Portal. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 88 Completed Date: 8/27/2025 Age: From 0 To 4 Total Minutes: 320 Time In: 11:00 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 6-30-25 with an “Superior” classification. The last approved fire inspection was conducted on 12-3-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Inc. was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed running about on the playground, in activity centers, at the table with manipulatives, and in group time as the caregivers read books to the children. The children rested on cots with linens and were observed completing toileting and handwashing routines. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed. Medications and permission to administer medications were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. .0606(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a health assessment. GS110-91(1) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In both classrooms of space #7 and space # 1 a can of soda was observed. .0901(i) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 9-10-25 stating how the violations have corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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 suggestion that may be beneficial: Infant Sleep Checks: Documented sleep visual checks every 15 minutes are crucial to minimize the risk of Sudden Infant Death Syndrome (SIDS) by ensuring infants are breathing normally and positioned safely while sleeping. The documentation provides a record that proper monitoring is occurring, which is required by child care requirements and is considered best practice for infant care. A sleep check form was provided for you today that may be easier for the caregiver to complete and maintain. It was suggested that management monitor the infant room daily to ensure that sleep checks are being documented and maintained for thirty (30) days as required. As well, monitor the count of these blank forms and when you see them running low, make additional copies. Modeling Healthy Eating Habits: - Role modeling plays a vital role in a child's development, and child care staff can help children learn healthy behaviors through modeling. Children learn by observing and copying the adults in their lives. The only beverages that should be in the classroom are beverages that the children can consume. It was suggested for staff to use drinking tumblers to pour their canned beverages into. The following were discussed with you during today’s visit: • Finish completing your staff/training worksheets and submit them asap. • Remember that permission slips and medical action plans are due soon for medications observed today. • Finish connecting your staff in the ABCMS Portal. You must contact NCID, (919) 754-6000, if staff are having trouble logging into the applicant portal. • Clean out the weeds in your garden beds where the tomatoes, squash, egg plants and strawberries are planted. • We discussed vinyl holding up better than wood for the casing of your plexiglass easel on the playground. • There was excessive paperwork in the files today. New paperwork for children is being completed every year and copies of the summary of the law and the shaken baby policy are in the files taking additional time to review files. Please consider removing paperwork in your files that does not have to be signed by parents or staff. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Today it was explained that you can review the QRIS requirements, which includes three pathways to choose for the new rated license process. Please take time to visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. To prepare for your transition into the new license, please get updated transcripts and submit them to the Workforce Unit, so current education is reflected in the WORKS Portal. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 112 Completed Date: 3/11/2025 Age: From 0 To 5 Total Minutes: 160 Time In: 02:00 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during a routine unannounced assessment. This facility operates with a Four Star License issued on 2-14-23. The last annual compliance visit was conducted on 9-24-24. Today’s visit was conducted with you, Stephanie Dent, assistant director. Upon arrival to the facility, I was greeted by you. The children were observed engaging in outdoor gross motor play on the playground. The children were observed with the caregivers for parachute play, having relay races, running about and interacting on the play structure, playing with balls, and parking the riding toys on the playground. Handwashing and toileting routines along with children engaged in activity centers were also observed. Today a walk-through was completed visiting the eight (8) classrooms where children are in care. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, and the required postings were monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed for children with medications to be administered. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Multipurpose Cleaner and Desitin Diaper Cream (that was less than five feet from the floor) were located in an unlocked cabinet in space #1. .0604(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR Plan did not include staff emergency information and did not include blank incident report forms. .0607(d)(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #5, an allergy action plan was not available for a child with an Epinephrine Autoinjector. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 3-25-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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: EPR Plan Update: The EPR Plan and Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your EPR Plan and Ready to Go File notebook needs to be updated with all of the required paperwork as changes occur and at least annually. It is suggested to at least twice a month monitor your Ready to Go File to ensure that it is up to date. The file should be updated when new staff are hired or staff is no longer employed and when new children enroll or disenroll, and/or when new medication is provided for a child or when the medication is no longer needed, and/or when a child has an allergy, the allergy list needs to be modified. It is suggested to mark your calendar and/or set an alarm to remind you at least every other week to update your EPR Plan/Ready to Go File. Storage of Hazardous Chemicals/Items: A child born today will grow up exposed to more chemicals than a child from any other generation in our nation's history. Locking chemicals is important because children are more vulnerable to toxic chemicals and their bodies are still growing and developing. Remember locking up potential dangers is crucial for children’s safety. A suggestion was made to have all chemicals/hazardous items kept where there is a self-locking door or door with a keypad installed, resulting in staff not having to lock doors/cabinets with a key. • An updated summary of the law poster was emailed to you today. Please post this most recent version of the summary of the law. • It was recommended to post a sign indicating “Emergency Medications” on neon paper to easily identify where the medications are stored. • New trash can lids were recommended since some of the lids are missing the inner flaps. • Add more names to your Emergency Medical Care Plan to ensure there is someone whose name is listed on the Emergency Medical Care Plan at the facility during the operating hours. • Your Emergency Preparedness and Response Plan has “DRAFT” on the cover. Please log into the risk management portal and check the left side of screen to edit your Emergency Preparedness and Response Plan. Any red dots need information added. Once the information is added, publish the plan and “DRAFT” should no longer appear. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS: Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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 .0803 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 93 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 395 Time In: 10:45 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment along with a complaint follow-up visit. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 9-20-24 with an “Superior” classification. The last approved fire inspection was conducted on 11-9-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Incorporated was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, principal/center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where the children were listening to music and singing the songs, engaged in activity areas, stacking cups in the block area, practicing writing letters, completing sorting activities, and making mosaic apples with construction paper as an art activity. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #6a and 6b, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 permission to administer Babyganics Sunscreen, Coppertone Sunscreen, two (2) Up & Up Diaper Rash Paste, CVS Diaper Rash Ointment, and Desitin was not available. In the office, permission to administer two (2) bottles of Benadryl was not available. 10A NCAC 09 .0803(1)(a & b) 1043 All staff records, except financial records, were not made available for review. All staff files did not contain staff development plans, annual staff evaluations, Recognizing and Responding to Suspicions of Child Maltreatment training, annual on-going training documentation, and staff medical statements/staff physicals. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification was not available for seven (7) staff members. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification was not on file for seven (7) staff members. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child's file did not contain a physical/medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, Incident Report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-9-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Children’s Files and Staff Files: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review children’s files and staff files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed making sure that you develop a record keeping system for children’s records and staff records that promotes organization and efficiency. Administrative staff must allow time to review all necessary documentation prior to employment, of staff being placed on payroll and going into the classroom to ensure accuracy. It is strongly recommended that you collect the criminal record check qualification letter, TB test results that are no more than 12 months old, and the staff medical report/physical with the physician’s statement no more than 12 months old after you offer the position. For your children’s records, it is suggested that you collect the children’s medical report, immunizations and the additional required paperwork prior to enrollment. As well, using the children’s file checklist and staff files checklist to ensure ALL paperwork is on file would be helpful. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • It took a lot of time today to review files. It is recommended for you to go through your files and sort and eliminate paperwork that is not needed. Copies of the Summary of the Law, the Shaken Baby Policy, blank immunization record forms, etc. do not need to be included in the children’s files. If the licensing required children’s file paperwork could be grouped together that would help with ease of review. Today, some files included over 27 pieces of paper. • Papers can be reduced in your files. Remember that you only need to keep fire drills and playground inspections for the past 12 months. • Your EPR Plan has “DRAFT” on the cover. “DRAFT” means that there are items within the plan that are missing information. Please log back into the Risk Management Portal and look to the left of the screen for the items that contain a yellow or red dot to add the missing information. • We discussed that the Maltreatment training required by Chesterbrook Academy is not equivalent to the health and safety training required “Recognizing and Responding to Suspicions of Child Maltreatment” which is only offered on the Positive Childhood Alliance/Prevent Child Abuse NC website and must be completed within the first 90 days of employment. It is strongly recommended that you have staff complete this training during the 1st two weeks of employment as indicated on the orientation form. • Your annual fire inspection is due by 11-9-24. Please send me the completed fire inspection form once it is completed. • On the playground a couple of fire ant hills were observed. You stated that the exterminator was scheduled to come. Also, on the playground was standing water under the shade structure. You stated that when the logs were recently removed and with the recent rain it has created a puddle. You are going to mention it to your lawn maintenance personnel for a solution. Lastly, you mentioned that you are considering removing the swings due to the maintenance of the mulch in the fall zone. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 93 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 395 Time In: 10:45 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment along with a complaint follow-up visit. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 9-20-24 with an “Superior” classification. The last approved fire inspection was conducted on 11-9-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Incorporated was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, principal/center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where the children were listening to music and singing the songs, engaged in activity areas, stacking cups in the block area, practicing writing letters, completing sorting activities, and making mosaic apples with construction paper as an art activity. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #6a and 6b, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 permission to administer Babyganics Sunscreen, Coppertone Sunscreen, two (2) Up & Up Diaper Rash Paste, CVS Diaper Rash Ointment, and Desitin was not available. In the office, permission to administer two (2) bottles of Benadryl was not available. 10A NCAC 09 .0803(1)(a & b) 1043 All staff records, except financial records, were not made available for review. All staff files did not contain staff development plans, annual staff evaluations, Recognizing and Responding to Suspicions of Child Maltreatment training, annual on-going training documentation, and staff medical statements/staff physicals. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification was not available for seven (7) staff members. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification was not on file for seven (7) staff members. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child's file did not contain a physical/medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, Incident Report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-9-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Children’s Files and Staff Files: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review children’s files and staff files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed making sure that you develop a record keeping system for children’s records and staff records that promotes organization and efficiency. Administrative staff must allow time to review all necessary documentation prior to employment, of staff being placed on payroll and going into the classroom to ensure accuracy. It is strongly recommended that you collect the criminal record check qualification letter, TB test results that are no more than 12 months old, and the staff medical report/physical with the physician’s statement no more than 12 months old after you offer the position. For your children’s records, it is suggested that you collect the children’s medical report, immunizations and the additional required paperwork prior to enrollment. As well, using the children’s file checklist and staff files checklist to ensure ALL paperwork is on file would be helpful. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • It took a lot of time today to review files. It is recommended for you to go through your files and sort and eliminate paperwork that is not needed. Copies of the Summary of the Law, the Shaken Baby Policy, blank immunization record forms, etc. do not need to be included in the children’s files. If the licensing required children’s file paperwork could be grouped together that would help with ease of review. Today, some files included over 27 pieces of paper. • Papers can be reduced in your files. Remember that you only need to keep fire drills and playground inspections for the past 12 months. • Your EPR Plan has “DRAFT” on the cover. “DRAFT” means that there are items within the plan that are missing information. Please log back into the Risk Management Portal and look to the left of the screen for the items that contain a yellow or red dot to add the missing information. • We discussed that the Maltreatment training required by Chesterbrook Academy is not equivalent to the health and safety training required “Recognizing and Responding to Suspicions of Child Maltreatment” which is only offered on the Positive Childhood Alliance/Prevent Child Abuse NC website and must be completed within the first 90 days of employment. It is strongly recommended that you have staff complete this training during the 1st two weeks of employment as indicated on the orientation form. • Your annual fire inspection is due by 11-9-24. Please send me the completed fire inspection form once it is completed. • On the playground a couple of fire ant hills were observed. You stated that the exterminator was scheduled to come. Also, on the playground was standing water under the shade structure. You stated that when the logs were recently removed and with the recent rain it has created a puddle. You are going to mention it to your lawn maintenance personnel for a solution. Lastly, you mentioned that you are considering removing the swings due to the maintenance of the mulch in the fall zone. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 93 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 395 Time In: 10:45 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment along with a complaint follow-up visit. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 9-20-24 with an “Superior” classification. The last approved fire inspection was conducted on 11-9-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Incorporated was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, principal/center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where the children were listening to music and singing the songs, engaged in activity areas, stacking cups in the block area, practicing writing letters, completing sorting activities, and making mosaic apples with construction paper as an art activity. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #6a and 6b, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 permission to administer Babyganics Sunscreen, Coppertone Sunscreen, two (2) Up & Up Diaper Rash Paste, CVS Diaper Rash Ointment, and Desitin was not available. In the office, permission to administer two (2) bottles of Benadryl was not available. 10A NCAC 09 .0803(1)(a & b) 1043 All staff records, except financial records, were not made available for review. All staff files did not contain staff development plans, annual staff evaluations, Recognizing and Responding to Suspicions of Child Maltreatment training, annual on-going training documentation, and staff medical statements/staff physicals. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification was not available for seven (7) staff members. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification was not on file for seven (7) staff members. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child's file did not contain a physical/medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, Incident Report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-9-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Children’s Files and Staff Files: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review children’s files and staff files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed making sure that you develop a record keeping system for children’s records and staff records that promotes organization and efficiency. Administrative staff must allow time to review all necessary documentation prior to employment, of staff being placed on payroll and going into the classroom to ensure accuracy. It is strongly recommended that you collect the criminal record check qualification letter, TB test results that are no more than 12 months old, and the staff medical report/physical with the physician’s statement no more than 12 months old after you offer the position. For your children’s records, it is suggested that you collect the children’s medical report, immunizations and the additional required paperwork prior to enrollment. As well, using the children’s file checklist and staff files checklist to ensure ALL paperwork is on file would be helpful. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • It took a lot of time today to review files. It is recommended for you to go through your files and sort and eliminate paperwork that is not needed. Copies of the Summary of the Law, the Shaken Baby Policy, blank immunization record forms, etc. do not need to be included in the children’s files. If the licensing required children’s file paperwork could be grouped together that would help with ease of review. Today, some files included over 27 pieces of paper. • Papers can be reduced in your files. Remember that you only need to keep fire drills and playground inspections for the past 12 months. • Your EPR Plan has “DRAFT” on the cover. “DRAFT” means that there are items within the plan that are missing information. Please log back into the Risk Management Portal and look to the left of the screen for the items that contain a yellow or red dot to add the missing information. • We discussed that the Maltreatment training required by Chesterbrook Academy is not equivalent to the health and safety training required “Recognizing and Responding to Suspicions of Child Maltreatment” which is only offered on the Positive Childhood Alliance/Prevent Child Abuse NC website and must be completed within the first 90 days of employment. It is strongly recommended that you have staff complete this training during the 1st two weeks of employment as indicated on the orientation form. • Your annual fire inspection is due by 11-9-24. Please send me the completed fire inspection form once it is completed. • On the playground a couple of fire ant hills were observed. You stated that the exterminator was scheduled to come. Also, on the playground was standing water under the shade structure. You stated that when the logs were recently removed and with the recent rain it has created a puddle. You are going to mention it to your lawn maintenance personnel for a solution. Lastly, you mentioned that you are considering removing the swings due to the maintenance of the mulch in the fall zone. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 93 Completed Date: 9/24/2024 Age: From 0 To 5 Total Minutes: 395 Time In: 10:45 AM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment along with a complaint follow-up visit. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. The last sanitation inspection was completed on 9-20-24 with an “Superior” classification. The last approved fire inspection was conducted on 11-9-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, SEG, Incorporated was listed as “Current-Active.” Today’s visit was conducted with you, Marlo Walston, principal/center director. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed in circle time where the children were listening to music and singing the songs, engaged in activity areas, stacking cups in the block area, practicing writing letters, completing sorting activities, and making mosaic apples with construction paper as an art activity. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #6a and 6b, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 permission to administer Babyganics Sunscreen, Coppertone Sunscreen, two (2) Up & Up Diaper Rash Paste, CVS Diaper Rash Ointment, and Desitin was not available. In the office, permission to administer two (2) bottles of Benadryl was not available. 10A NCAC 09 .0803(1)(a & b) 1043 All staff records, except financial records, were not made available for review. All staff files did not contain staff development plans, annual staff evaluations, Recognizing and Responding to Suspicions of Child Maltreatment training, annual on-going training documentation, and staff medical statements/staff physicals. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid certification was not available for seven (7) staff members. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR certification was not on file for seven (7) staff members. .1102(d) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One (1) child's file did not contain a physical/medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, Incident Report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-9-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Children’s Files and Staff Files: We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review children’s files and staff files often to ensure the program is maintaining accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. We discussed making sure that you develop a record keeping system for children’s records and staff records that promotes organization and efficiency. Administrative staff must allow time to review all necessary documentation prior to employment, of staff being placed on payroll and going into the classroom to ensure accuracy. It is strongly recommended that you collect the criminal record check qualification letter, TB test results that are no more than 12 months old, and the staff medical report/physical with the physician’s statement no more than 12 months old after you offer the position. For your children’s records, it is suggested that you collect the children’s medical report, immunizations and the additional required paperwork prior to enrollment. As well, using the children’s file checklist and staff files checklist to ensure ALL paperwork is on file would be helpful. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • It took a lot of time today to review files. It is recommended for you to go through your files and sort and eliminate paperwork that is not needed. Copies of the Summary of the Law, the Shaken Baby Policy, blank immunization record forms, etc. do not need to be included in the children’s files. If the licensing required children’s file paperwork could be grouped together that would help with ease of review. Today, some files included over 27 pieces of paper. • Papers can be reduced in your files. Remember that you only need to keep fire drills and playground inspections for the past 12 months. • Your EPR Plan has “DRAFT” on the cover. “DRAFT” means that there are items within the plan that are missing information. Please log back into the Risk Management Portal and look to the left of the screen for the items that contain a yellow or red dot to add the missing information. • We discussed that the Maltreatment training required by Chesterbrook Academy is not equivalent to the health and safety training required “Recognizing and Responding to Suspicions of Child Maltreatment” which is only offered on the Positive Childhood Alliance/Prevent Child Abuse NC website and must be completed within the first 90 days of employment. It is strongly recommended that you have staff complete this training during the 1st two weeks of employment as indicated on the orientation form. • Your annual fire inspection is due by 11-9-24. Please send me the completed fire inspection form once it is completed. • On the playground a couple of fire ant hills were observed. You stated that the exterminator was scheduled to come. Also, on the playground was standing water under the shade structure. You stated that when the logs were recently removed and with the recent rain it has created a puddle. You are going to mention it to your lawn maintenance personnel for a solution. Lastly, you mentioned that you are considering removing the swings due to the maintenance of the mulch in the fall zone. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 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 .2818 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0924-194L Visit Date: 9/18/2024 Number Present: 98 Completed Date: 9/18/2024 Age: From 0 To 5 Total Minutes: 505 Time In: 09:00 AM Time Out: 05:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of noncompliance with child care requirements. Today’s visit was conducted with you, Marlo Walston, center director/school principal. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. Upon arrival to the facility, I was greeted by you and the complaint allegations regarding supervision, staff/child ratios, nurture and care, and nutrition were shared with you. Staff members were also interviewed. In regards to supervision, it was alleged that on September 10th a child fell on a door hinge and “sliced their forehead open.” The assistant director/assistant principal stated that they were a caregiver in the classroom when the incident occurred. The assistant director/assistant principal explained that the children were gathering and lining up to go outside and the other caregiver in the classroom was at the door putting children in the bye-bye buggy. The assistant director/assistant principal stated that she was at the back of the line when they saw the child trip and fall into the hinge of the door. First aid was administered and the parent was contacted. An incident report was completed and an entry into the incident log was observed. During today’s visit all children were adequately supervised. Based on observations and my conversation with staff, the allegation concerning supervision is unsubstantiated. In regards to the allegation concerning staff/child ratios, it was alleged that during the week of September 9th through September 13th there were twelve, two and three year olds with one caregiver. You explained that last week during the week of September 9th through September 13th it was challenging operating the facility because there were caregivers absent. You mentioned that on September 10th there were seven caregivers that did not report to work, four caregivers had a very contagious, quickly spreading illness, one caregiver was on vacation, and the two other caregivers were absent with other illnesses. You stated that in an effort to maintain child care for your families, you and the management staff were in the classrooms as caregivers. You increased ratios from enhanced ratios to minimum ratios allowing space #2 to operate at a 1 to 10 ratio, where there were 10 two and three year olds with one caregiver. You added that by no means were you intentionally trying to be out of ratio, but you were confident that the caregivers could keep the children safe operating at minimum ratios in space #2. Staff/child ratios were not maintained as required during the week of September 9th through September 13th. Based on my conversation with you, the allegation concerning staff/child ratios is substantiated. See violation below. Regarding the nutrition allegation, it was alleged that similar meals are served twice a day, vegetarian children are served cheese and crackers for lunch and meals are not nutritionally balanced. You provided this month’s menu for me to examine the meals and snacks served and planned for the month of September. You stated that meals are planned according to the meal patterns for children in child care. You added that there is a variety of meals and snacks served to the children and the same food is not served twice in a day nor that week. In regards to children that are vegetarians, you explained that these children are served meat alternates and the meat alternates are included on the monthly menu. During the visit today, a US Foods Distribution truck was observed delivering various menu items such as chicken patties, soy patties, soy nuggets, veggie rolls, frozen fried rice, fresh sliced apples, mandarin oranges, pineapples, spaghetti sauce, Nutrigrain bars, crackers, Sun Chips, etc. Nutritionally balanced foods were served today meeting the child care requirements. For breakfast the children were served cereal and milk and for lunch the children were served cheese ravioli, green beans, pears and milk. Menu substitutions were also observed documented on the menu. Substitutions like banana muffins, egg omelets, cottage cheese, and peaches were observed documented on the September menu. You stated that parents are notified through the Tadpoles App and a text is sent out on the day that substitutions are made to keep parents informed regarding what was served to children. Based on my observations and conversations with you and staff the allegations concerning nutrition are unsubstantiated. In regards to the allegation concerning nurture and care, it was alleged that while on the playground a child wet themselves because the caregiver responsible for the classroom was alone and could not leave the rest of the class outside to take the child inside to use the bathroom. The caregiver responsible for the child that wet themselves was interviewed. The caregiver explained that she was responsible for potty-training two and three year olds on September 10th. The children were playing outside and as normal a couple of the children were asking to come inside. Once the children were brought inside, one child went to the bathroom and right as they were standing in front of the toilet, getting ready to pull down their pants they wet themselves. The caregiver stated that they feel the incident was age appropriate for this potty-training age group. During today’s visit children were attended to in a nurturing manner, and in keeping with children’s developmental needs. Based on observations and the conversation with staff, the allegation concerning nurture and care is unsubstantiated. The following violation of child care requirements was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On 9-10-24 in space #2 there were ten (10) two and three year olds with one caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-2-24 describing accurately and in detail, 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 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each childcare provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older children. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from a caregiver who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Suggestions were made to update your staff/child ratio policy, hire additional staff for coverage when staff call out of work and/or are late to work. It was also suggested for caregivers to communicate with management PRIOR to being out of ratio. Caregivers should notify management when they are one child from being out of ratio, to allow time to get another caregiver in the room or for a plan to be put in place to prevent a caregiver from having more children in care than allowed. It may also be helpful to notify parents that the classroom has met its capacity and they should see management without allowing them to drop their child off in the classroom that has met its staff child ratio/capacity. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns please contact me. Bridggette Campbell PO BOX 865 Knightdale, NC 27545-0865 Office: 919-819-9357 bridggette.campbell@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

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0924-194L Visit Date: 9/18/2024 Number Present: 98 Completed Date: 9/18/2024 Age: From 0 To 5 Total Minutes: 505 Time In: 09:00 AM Time Out: 05:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of noncompliance with child care requirements. Today’s visit was conducted with you, Marlo Walston, center director/school principal. This facility currently operates with a Four (4) Star License that was issued on 2-14-23. Upon arrival to the facility, I was greeted by you and the complaint allegations regarding supervision, staff/child ratios, nurture and care, and nutrition were shared with you. Staff members were also interviewed. In regards to supervision, it was alleged that on September 10th a child fell on a door hinge and “sliced their forehead open.” The assistant director/assistant principal stated that they were a caregiver in the classroom when the incident occurred. The assistant director/assistant principal explained that the children were gathering and lining up to go outside and the other caregiver in the classroom was at the door putting children in the bye-bye buggy. The assistant director/assistant principal stated that she was at the back of the line when they saw the child trip and fall into the hinge of the door. First aid was administered and the parent was contacted. An incident report was completed and an entry into the incident log was observed. During today’s visit all children were adequately supervised. Based on observations and my conversation with staff, the allegation concerning supervision is unsubstantiated. In regards to the allegation concerning staff/child ratios, it was alleged that during the week of September 9th through September 13th there were twelve, two and three year olds with one caregiver. You explained that last week during the week of September 9th through September 13th it was challenging operating the facility because there were caregivers absent. You mentioned that on September 10th there were seven caregivers that did not report to work, four caregivers had a very contagious, quickly spreading illness, one caregiver was on vacation, and the two other caregivers were absent with other illnesses. You stated that in an effort to maintain child care for your families, you and the management staff were in the classrooms as caregivers. You increased ratios from enhanced ratios to minimum ratios allowing space #2 to operate at a 1 to 10 ratio, where there were 10 two and three year olds with one caregiver. You added that by no means were you intentionally trying to be out of ratio, but you were confident that the caregivers could keep the children safe operating at minimum ratios in space #2. Staff/child ratios were not maintained as required during the week of September 9th through September 13th. Based on my conversation with you, the allegation concerning staff/child ratios is substantiated. See violation below. Regarding the nutrition allegation, it was alleged that similar meals are served twice a day, vegetarian children are served cheese and crackers for lunch and meals are not nutritionally balanced. You provided this month’s menu for me to examine the meals and snacks served and planned for the month of September. You stated that meals are planned according to the meal patterns for children in child care. You added that there is a variety of meals and snacks served to the children and the same food is not served twice in a day nor that week. In regards to children that are vegetarians, you explained that these children are served meat alternates and the meat alternates are included on the monthly menu. During the visit today, a US Foods Distribution truck was observed delivering various menu items such as chicken patties, soy patties, soy nuggets, veggie rolls, frozen fried rice, fresh sliced apples, mandarin oranges, pineapples, spaghetti sauce, Nutrigrain bars, crackers, Sun Chips, etc. Nutritionally balanced foods were served today meeting the child care requirements. For breakfast the children were served cereal and milk and for lunch the children were served cheese ravioli, green beans, pears and milk. Menu substitutions were also observed documented on the menu. Substitutions like banana muffins, egg omelets, cottage cheese, and peaches were observed documented on the September menu. You stated that parents are notified through the Tadpoles App and a text is sent out on the day that substitutions are made to keep parents informed regarding what was served to children. Based on my observations and conversations with you and staff the allegations concerning nutrition are unsubstantiated. In regards to the allegation concerning nurture and care, it was alleged that while on the playground a child wet themselves because the caregiver responsible for the classroom was alone and could not leave the rest of the class outside to take the child inside to use the bathroom. The caregiver responsible for the child that wet themselves was interviewed. The caregiver explained that she was responsible for potty-training two and three year olds on September 10th. The children were playing outside and as normal a couple of the children were asking to come inside. Once the children were brought inside, one child went to the bathroom and right as they were standing in front of the toilet, getting ready to pull down their pants they wet themselves. The caregiver stated that they feel the incident was age appropriate for this potty-training age group. During today’s visit children were attended to in a nurturing manner, and in keeping with children’s developmental needs. Based on observations and the conversation with staff, the allegation concerning nurture and care is unsubstantiated. The following violation of child care requirements was cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On 9-10-24 in space #2 there were ten (10) two and three year olds with one caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-2-24 describing accurately and in detail, 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 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. • Staff Child Ratio: A staff-to-child ratio is a measure of the number of children for whom each childcare provider is responsible. Because younger children need more direct one-on-one interaction, response, and supervision, staff-to-child ratios are lower for younger children than for older children. Ratio and group size are two factors that are critical to a child’s health, safety, and development. Ratios and group sizes help ensure that a child gets enough one-on-one attention from a caregiver who is available to take care of each child’s unique needs. This responsive caregiving is extremely important to a child’s social and emotional development, physical well-being, and overall learning. Suggestions were made to update your staff/child ratio policy, hire additional staff for coverage when staff call out of work and/or are late to work. It was also suggested for caregivers to communicate with management PRIOR to being out of ratio. Caregivers should notify management when they are one child from being out of ratio, to allow time to get another caregiver in the room or for a plan to be put in place to prevent a caregiver from having more children in care than allowed. It may also be helpful to notify parents that the classroom has met its capacity and they should see management without allowing them to drop their child off in the classroom that has met its staff child ratio/capacity. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns please contact me. Bridggette Campbell PO BOX 865 Knightdale, NC 27545-0865 Office: 919-819-9357 bridggette.campbell@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

GS110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 92000605 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 103 Completed Date: 9/26/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 11:15 AM Time Out: 02:30 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, I was greeted by the director Marlo Walston and assisted me through out the visit. I completed a walk-through of the facility. At the time of visit there were a total of 103 children present. The children were observed playing with materials, playing in centers, preparing for lunch, playing outside and napping/resting. LICENSE STATUS Currently this center operates with four star license issued February 4, 2020. This center is in cohort two (2). INSPECTIONS I reviewed all required inspections including fire drills, emergency drills, sanitation, fire and outdoor inspections. Inspections were found to be in compliance. The fire inspection is due in October. MONITORING During today’s visit, a full assessment was conducted, monitoring all space occupied by the children. A selection of children files was reviewed. All spaces were monitored for supervision, staff/child ratios, materials, equipment and required postings. A checklist was used to note the requirements I monitored today. The checklist will be provided at the conclusion of the visit. ANNUAL IN-SERVICE TRAININGS This center’s annual in-service calendar dates are January 1st-December 31st. The following violation was observed and documented. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam was missing from two (2) children files. GS110-91(1) The above violation MUST be corrected immediately. Please mail or email your letter of compliance by October 10, 2023. The letter must address the violation and describe how the violation was corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 93%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE >>Please be sure the medical report is completed by the child’s physician and on file within 30 days of enrollment. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor; Michele Remington, Licensing Supervisor at Office: 919-819-9355 or via 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