Childcare Network #61

10A NCAC 09 .3009 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 70 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 11:40 AM Time Out: 02:10 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 your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with you, Rachel Kacy, Center Director. You accompanied me as I walked through the child care spaces indoors. The outdoor area was not able to be monitored due to inclement weather. Supervision and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were transitioning and completing different activities. One group of children were observed resting on their cots. The cots were spaced apart properly. Individual linens were provided. Some children had small toys. A staff member was assisting one child by patting them on their back. Another group of children were observed completing toileting routines. While children used the bathroom, the other group sat on the floor outside and looked at individual books. The staff member provided supervision for the children. In a classroom for older children, the teacher led group time. The staff member talked with children about zoo animals while using pictures, pretend animals, and a display that was created for the lesson. She asked open ended questions and children responded. I also observed a child arriving at the facility. The child was walked to their classroom. The classroom teacher assisted the child with putting their things away and prepared the child to have their lunch. In the classroom for younger children, the staff member sat on the floor and manipulated toys, held children, and interacted with them. The younger children were free to move around the space. The facility was monitored for health and safety requirements. Program requirements, equipment, and furnishings were also observed. A sampling of staff including all new staff records were monitored. A sampling of children’s files was reviewed and one violation was documented. A checklist was also used to monitor compliance today. Inspections and drills were current. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were not able to be monitored. You explained the maintenance person was coming to look at the bus. Violation Number Comment Rule 1769 The health assessment did not include a dental screening. One child did not have a dental screening in the classroom for NCPK. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a compliance letter explaining how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699 Antionette.williams@dhhs.nc.gov QRIS MODERNIZATION: You have been preparing for the transition. You explained the facility is preparing for the self-study and completing training for the ERS. ADDITIONAL INFORMATION: Be sure to visit the “What’s New” section of DCDEE website for new information. You may download the most recent version of the Child Care Requirements on DCDEE website. Click the provider tab and scroll down to the child care rules tab. The newest version is dated July 1, 2025. The visit summary was sent to you after the visit due to another scheduled appointment. Feel free to contact me with any questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. You may also contact Michele Remington, Supervisor, if you have any questions at, (919)819-9355 or 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

NC GS 110-90 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/12/2026 Number Present: 70 Completed Date: 3/12/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 11:40 AM Time Out: 02:10 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 your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with you, Rachel Kacy, Center Director. You accompanied me as I walked through the child care spaces indoors. The outdoor area was not able to be monitored due to inclement weather. Supervision and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were transitioning and completing different activities. One group of children were observed resting on their cots. The cots were spaced apart properly. Individual linens were provided. Some children had small toys. A staff member was assisting one child by patting them on their back. Another group of children were observed completing toileting routines. While children used the bathroom, the other group sat on the floor outside and looked at individual books. The staff member provided supervision for the children. In a classroom for older children, the teacher led group time. The staff member talked with children about zoo animals while using pictures, pretend animals, and a display that was created for the lesson. She asked open ended questions and children responded. I also observed a child arriving at the facility. The child was walked to their classroom. The classroom teacher assisted the child with putting their things away and prepared the child to have their lunch. In the classroom for younger children, the staff member sat on the floor and manipulated toys, held children, and interacted with them. The younger children were free to move around the space. The facility was monitored for health and safety requirements. Program requirements, equipment, and furnishings were also observed. A sampling of staff including all new staff records were monitored. A sampling of children’s files was reviewed and one violation was documented. A checklist was also used to monitor compliance today. Inspections and drills were current. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were not able to be monitored. You explained the maintenance person was coming to look at the bus. Violation Number Comment Rule 1769 The health assessment did not include a dental screening. One child did not have a dental screening in the classroom for NCPK. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 26, 2026, I must receive a compliance letter explaining how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699 Antionette.williams@dhhs.nc.gov QRIS MODERNIZATION: You have been preparing for the transition. You explained the facility is preparing for the self-study and completing training for the ERS. ADDITIONAL INFORMATION: Be sure to visit the “What’s New” section of DCDEE website for new information. You may download the most recent version of the Child Care Requirements on DCDEE website. Click the provider tab and scroll down to the child care rules tab. The newest version is dated July 1, 2025. The visit summary was sent to you after the visit due to another scheduled appointment. Feel free to contact me with any questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. You may also contact Michele Remington, Supervisor, if you have any questions at, (919)819-9355 or michele.remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: 0625-084L Visit Date: 6/17/2025 Number Present: 46 Completed Date: 6/17/2025 Age: From 0 To 9 Total Minutes: 130 Time In: 10:50 AM Time Out: 12:20 PM Time In: 12:50 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate a complaint allegation regarding, the child care facility did not have records for three children enrolled. My visit today was conducted you, Rachel Kacy, Center Director. You walked through the facility with me. I observed staff/child ratios, group size, supervision, space capacity, and use of licensed space complied. There were forty-six children present. Children throughout the facility were playing eating lunch, preparing for rest time, participated in group activities, and having free play. Staff assisted children with activities and met children’s developmental needs. Today I reviewed the allegation with you. You explained in May 2025, you and the new Assistant Director, conducted audits of children’s records. You observed there were many items that were missing from children's records. You have been working to bring records into compliance since you and the new Assistant Director were hired. All parents were notified and given until June 20, 2025 to return all missing documents. You reported that one family with three children enrolled since 2023, did not have records on file. When you notified the parent, the parent was upset and stated one of the three children had a medical condition. The parent expressed concern about the child’s care if something was to happen. You explained you were not aware the child had a medical condition. The three children have not returned back to the facility. You explained parents were notified of missing records via email, a communication app, and they were given hard copies of documents that needed to be complete. Parents are also able to complete forms electronically in an app. The parents were given two written reminders since the initial notification. You also explained that parents are reminded daily. Today you explained there were fifty-one children enrolled. There were forty-six children present. Today I counted thirty-two NC Prek children and forty-four other children records on file. The NC Pre-K school-year has ended. I chose seven random children to ensure they had records on file. I also monitored the children from the family of three and observed there were no records on file except one immunization record for one of the children. Based on your report of the children enrolled, the number of records on site, and records observed, this allegation is substantiated. Violation Number Comment Rule 1328 Children's records were not made available for review. There were fifty-one children enrolled and only forty-four records available for review. G.S. 110-91(9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/1/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Children’s files - Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children’s files often to ensure the program maintains accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. You explained you have already started the process to obtain missing documents from children’s records. The visit summary was sent to you after the visit. You may contact me with any questions at 919-819-9383. 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: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: 0625-084L Visit Date: 6/17/2025 Number Present: 46 Completed Date: 6/17/2025 Age: From 0 To 9 Total Minutes: 130 Time In: 10:50 AM Time Out: 12:20 PM Time In: 12:50 PM Time Out: 01:30 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate a complaint allegation regarding, the child care facility did not have records for three children enrolled. My visit today was conducted you, Rachel Kacy, Center Director. You walked through the facility with me. I observed staff/child ratios, group size, supervision, space capacity, and use of licensed space complied. There were forty-six children present. Children throughout the facility were playing eating lunch, preparing for rest time, participated in group activities, and having free play. Staff assisted children with activities and met children’s developmental needs. Today I reviewed the allegation with you. You explained in May 2025, you and the new Assistant Director, conducted audits of children’s records. You observed there were many items that were missing from children's records. You have been working to bring records into compliance since you and the new Assistant Director were hired. All parents were notified and given until June 20, 2025 to return all missing documents. You reported that one family with three children enrolled since 2023, did not have records on file. When you notified the parent, the parent was upset and stated one of the three children had a medical condition. The parent expressed concern about the child’s care if something was to happen. You explained you were not aware the child had a medical condition. The three children have not returned back to the facility. You explained parents were notified of missing records via email, a communication app, and they were given hard copies of documents that needed to be complete. Parents are also able to complete forms electronically in an app. The parents were given two written reminders since the initial notification. You also explained that parents are reminded daily. Today you explained there were fifty-one children enrolled. There were forty-six children present. Today I counted thirty-two NC Prek children and forty-four other children records on file. The NC Pre-K school-year has ended. I chose seven random children to ensure they had records on file. I also monitored the children from the family of three and observed there were no records on file except one immunization record for one of the children. Based on your report of the children enrolled, the number of records on site, and records observed, this allegation is substantiated. Violation Number Comment Rule 1328 Children's records were not made available for review. There were fifty-one children enrolled and only forty-four records available for review. G.S. 110-91(9) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 7/1/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 TECHNICAL ASSISTANCE: Children’s files - Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Review children’s files often to ensure the program maintains accurate licensing records. Organization and completeness of records is important to ensure easy access to information in emergency situations. You explained you have already started the process to obtain missing documents from children’s records. The visit summary was sent to you after the visit. You may contact me with any questions at 919-819-9383. 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 .0701 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 61 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:40 AM Time Out: 02:15 PM Time In: 02:45 PM Time Out: 04:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with both of you, Rachel Kacy, Center Director. You walked through the child care spaces with me both indoors and outdoors. Compliance with supervision, and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were playing outside, playing in activity areas, participating group time, completing art activities, transitioning between activities, eating lunch, and resting. Children’s individual artwork was displayed in classrooms. Staff assisted children with materials, helped with interactions when needed, and met children’s developmental needs. The facility was monitored for health and safety requirements both indoors and outdoors and violations were documented. Program requirements, equipment, and furnishings were also observed. All new staff and a sampling of children and existing staff’s file were reviewed and violations were documented. A checklist was also used to monitor compliance today. Inspections and drills were monitored. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were monitored. However, one vehicle used for transportation was in use and documentation of children entering and exiting the vehicle was on the bus and not monitored. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One child's hands were not washed after having a soiled diaper changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Posted activity plans in three classrooms were not current. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member wiped three (3) children's noses using their gloved hand and did not wash their hands nor change the gloves after each child's nose was wiped. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diaper changing surface was not cleaned with a detergent solution before the disinfectant solution was applied. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door leading into classroom six (6) had peeling paint in many areas. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical report was older than twelve (12) months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB screening was older than twelve (12) months. .0701(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for one child. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Authorization for emergency medical care was not on file for one child. .0802(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/9/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Diapering and handwashing - Proper handwashing and diapering procedures are essential in helping prevent the spread of communicable diseases including handwashing and diapering. You explained staff participated in training regarding sanitation and health with the Child Care Health Consultant on 3/20/25. You are in the process of developing policies and procedures based on information received from the training. Children and Staff Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Today you explained since you were hired, you have been working on getting records in order. You talked with staff about missing information and stated you would get the information required for the child’s record. Peeling Paint – Peeling paint can be a hazard to children if ingested. Today you stated there is a work order to have the door repaired but there is not date. UPDATES: QRIS Modernization Proposed Rule Amendments and Adoptions: The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. Be sure to visit the What’s New section of DCDEE website to review the proposed rules and listen to a webinar regarding the proposed changes. Check your email for information for DHHS regarding a public hearing for the proposed rules. This visit summary was sent to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. Please Note, my mailing address has changed, and my new address is listed below: 2201 Mail Service Center Raleigh, NC 27699 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 .3009 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 61 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:40 AM Time Out: 02:15 PM Time In: 02:45 PM Time Out: 04:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with both of you, Rachel Kacy, Center Director. You walked through the child care spaces with me both indoors and outdoors. Compliance with supervision, and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were playing outside, playing in activity areas, participating group time, completing art activities, transitioning between activities, eating lunch, and resting. Children’s individual artwork was displayed in classrooms. Staff assisted children with materials, helped with interactions when needed, and met children’s developmental needs. The facility was monitored for health and safety requirements both indoors and outdoors and violations were documented. Program requirements, equipment, and furnishings were also observed. All new staff and a sampling of children and existing staff’s file were reviewed and violations were documented. A checklist was also used to monitor compliance today. Inspections and drills were monitored. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were monitored. However, one vehicle used for transportation was in use and documentation of children entering and exiting the vehicle was on the bus and not monitored. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One child's hands were not washed after having a soiled diaper changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Posted activity plans in three classrooms were not current. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member wiped three (3) children's noses using their gloved hand and did not wash their hands nor change the gloves after each child's nose was wiped. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diaper changing surface was not cleaned with a detergent solution before the disinfectant solution was applied. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door leading into classroom six (6) had peeling paint in many areas. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical report was older than twelve (12) months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB screening was older than twelve (12) months. .0701(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for one child. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Authorization for emergency medical care was not on file for one child. .0802(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/9/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Diapering and handwashing - Proper handwashing and diapering procedures are essential in helping prevent the spread of communicable diseases including handwashing and diapering. You explained staff participated in training regarding sanitation and health with the Child Care Health Consultant on 3/20/25. You are in the process of developing policies and procedures based on information received from the training. Children and Staff Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Today you explained since you were hired, you have been working on getting records in order. You talked with staff about missing information and stated you would get the information required for the child’s record. Peeling Paint – Peeling paint can be a hazard to children if ingested. Today you stated there is a work order to have the door repaired but there is not date. UPDATES: QRIS Modernization Proposed Rule Amendments and Adoptions: The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. Be sure to visit the What’s New section of DCDEE website to review the proposed rules and listen to a webinar regarding the proposed changes. Check your email for information for DHHS regarding a public hearing for the proposed rules. This visit summary was sent to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. Please Note, my mailing address has changed, and my new address is listed below: 2201 Mail Service Center Raleigh, NC 27699 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: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 61 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:40 AM Time Out: 02:15 PM Time In: 02:45 PM Time Out: 04:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with both of you, Rachel Kacy, Center Director. You walked through the child care spaces with me both indoors and outdoors. Compliance with supervision, and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were playing outside, playing in activity areas, participating group time, completing art activities, transitioning between activities, eating lunch, and resting. Children’s individual artwork was displayed in classrooms. Staff assisted children with materials, helped with interactions when needed, and met children’s developmental needs. The facility was monitored for health and safety requirements both indoors and outdoors and violations were documented. Program requirements, equipment, and furnishings were also observed. All new staff and a sampling of children and existing staff’s file were reviewed and violations were documented. A checklist was also used to monitor compliance today. Inspections and drills were monitored. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were monitored. However, one vehicle used for transportation was in use and documentation of children entering and exiting the vehicle was on the bus and not monitored. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One child's hands were not washed after having a soiled diaper changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Posted activity plans in three classrooms were not current. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member wiped three (3) children's noses using their gloved hand and did not wash their hands nor change the gloves after each child's nose was wiped. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diaper changing surface was not cleaned with a detergent solution before the disinfectant solution was applied. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door leading into classroom six (6) had peeling paint in many areas. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical report was older than twelve (12) months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB screening was older than twelve (12) months. .0701(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for one child. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Authorization for emergency medical care was not on file for one child. .0802(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/9/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Diapering and handwashing - Proper handwashing and diapering procedures are essential in helping prevent the spread of communicable diseases including handwashing and diapering. You explained staff participated in training regarding sanitation and health with the Child Care Health Consultant on 3/20/25. You are in the process of developing policies and procedures based on information received from the training. Children and Staff Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Today you explained since you were hired, you have been working on getting records in order. You talked with staff about missing information and stated you would get the information required for the child’s record. Peeling Paint – Peeling paint can be a hazard to children if ingested. Today you stated there is a work order to have the door repaired but there is not date. UPDATES: QRIS Modernization Proposed Rule Amendments and Adoptions: The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. Be sure to visit the What’s New section of DCDEE website to review the proposed rules and listen to a webinar regarding the proposed changes. Check your email for information for DHHS regarding a public hearing for the proposed rules. This visit summary was sent to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. Please Note, my mailing address has changed, and my new address is listed below: 2201 Mail Service Center Raleigh, NC 27699 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: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 61 Completed Date: 3/26/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 10:40 AM Time Out: 02:15 PM Time In: 02:45 PM Time Out: 04:20 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including compliance with requirements located in Child Care Rule Section .3000 in all spaces where children participating in the NC Pre-K program are cared for. Your program currently operates with a Five-star license. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted with both of you, Rachel Kacy, Center Director. You walked through the child care spaces with me both indoors and outdoors. Compliance with supervision, and staff interaction/discipline were monitored. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Children throughout the facility were playing outside, playing in activity areas, participating group time, completing art activities, transitioning between activities, eating lunch, and resting. Children’s individual artwork was displayed in classrooms. Staff assisted children with materials, helped with interactions when needed, and met children’s developmental needs. The facility was monitored for health and safety requirements both indoors and outdoors and violations were documented. Program requirements, equipment, and furnishings were also observed. All new staff and a sampling of children and existing staff’s file were reviewed and violations were documented. A checklist was also used to monitor compliance today. Inspections and drills were monitored. NC Pre-K requirements were monitored which also included screenings, family engagement, children records, ongoing assessments, and parent/teacher conferences. The Owner of the facility is listed a current/active with the NCSOS. Transportation requirements were monitored. However, one vehicle used for transportation was in use and documentation of children entering and exiting the vehicle was on the bus and not monitored. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. One child's hands were not washed after having a soiled diaper changed. 15A NCAC 18A .2803(c)(2) 428 A current activity plan was not posted for each group of children for reference. Posted activity plans in three classrooms were not current. GS 110-91(12); .0508(a) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. A staff member wiped three (3) children's noses using their gloved hand and did not wash their hands nor change the gloves after each child's nose was wiped. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. The diaper changing surface was not cleaned with a detergent solution before the disinfectant solution was applied. 15A NCAC 18A .2819(c) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The door leading into classroom six (6) had peeling paint in many areas. 15A NCAC 18A .2825(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member's medical report was older than twelve (12) months. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member's TB screening was older than twelve (12) months. .0701(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information was not updated annually for one child. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Authorization for emergency medical care was not on file for one child. .0802(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 4/9/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Diapering and handwashing - Proper handwashing and diapering procedures are essential in helping prevent the spread of communicable diseases including handwashing and diapering. You explained staff participated in training regarding sanitation and health with the Child Care Health Consultant on 3/20/25. You are in the process of developing policies and procedures based on information received from the training. Children and Staff Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Today you explained since you were hired, you have been working on getting records in order. You talked with staff about missing information and stated you would get the information required for the child’s record. Peeling Paint – Peeling paint can be a hazard to children if ingested. Today you stated there is a work order to have the door repaired but there is not date. UPDATES: QRIS Modernization Proposed Rule Amendments and Adoptions: The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. Be sure to visit the What’s New section of DCDEE website to review the proposed rules and listen to a webinar regarding the proposed changes. Check your email for information for DHHS regarding a public hearing for the proposed rules. This visit summary was sent to you after today’s visit. Feel free to contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. Please Note, my mailing address has changed, and my new address is listed below: 2201 Mail Service Center Raleigh, NC 27699 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: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: 0125-034L Visit Date: 1/14/2025 Number Present: 45 Completed Date: 1/14/2025 Age: From 0 To 10 Total Minutes: 85 Time In: 03:25 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate complaint allegations regarding a concern of inappropriate discipline and concern regarding a child not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. My visit today was conducted with you Vickie Thompson and Kendra Mitchell, Assistant Directors. I walked through the facility and observed staff/child ratios, group size, supervision, space capacity, and use of licensed space complied. Children throughout the facility were departing as parents arrived for pick-up. Other children were playing outside, playing in activity areas, participating in one-on-one therapy, and transitioning to other classrooms and activities. I observed for an extended amount of time in the classroom with children ages three to ten years old. I observed staff talk with children about their interactions, redirect children, assist children with nose wiping, hand washing, unwanted actions, and assist children with activities. Additional school-aged children arrived much later after my visit started. I observed the children exiting the bus and entering the building and classroom. One child appeared to need assistance with a situation with another student and told the Assistant Director what they needed and why. The children talked back and forth to each other about the incident and the staff member asked questions to understand what was going on. Children washed their hands and moved on to other activities in the classroom. The allegations were discussed with two staff members as follows: Allegation regarding inappropriate discipline: We discussed an incident where a staff member was asked to leave the child care due to an incident with a school-aged child on 12/31/2024. One Assistant Director explained she was not present but was aware of the incident. She stated the Director, Ms. Rachel and the Assistant Director, Ms. Vickie, were present when the incident occurred. She did confirm the staff member is no longer employed at the facility. Ms. Rachel was not present today. According to Ms. Vickie, and written documentation she completed at the time of the incident on 12/31/2024, during departure a school-aged child’s mom asked the child how their day was. The child responded they had a bad day. Ms. Vickie explained she was present during the conversation between the child and the parent. She explained the child seemed reluctant to talk about what happened. The child explained the teacher pushed him with her body and caused the child to hit the wall. The child explained they were supposed to be washing their hands at the time of the incident. The child’s mom asked the child if they were telling the truth because what the child was saying was very serious. The child stated they were telling the truth. She also asked the child if the teacher’s action was an accident and the child said it was not. Ms. Vickie asked to speak with the child and asked why the child did not tell her. The child stated they were scared and did not want to start crying and have the other children calling them names. Ms. Vickie asked if any other children saw what happened. The child named three other children. Ms. Vickie talked with the three children individually. One child immediately, almost verbatim explained the teacher pushed the child while they were washing hands. A second child said yes, the incident occurred but did not give any details. A third child could not give any information about the incident. The next day the District Manager informed the Director to send the staff member home and to self-report the incident to DCDEE. This occurred around Noon. Before the staff member left, they inquired about their personal time off. Ms. Vickie explained that less than an hour later, the staff member returned and delivered their resignation. The statement completed by the staff member who is alleged to have pushed the child stated they were at the sink helping another child. The child came running up from behind the staff member as theyere turning around. The child collided into the staff member and was bumped by their hips. The staff member written statement notes the collision caused the child to fall. The staff member written statement notes, they warned the child that they should not have been running in the room to start with. It appears that a staff member used her body to push a child, causing the child to fall, when the child did not wash their hands when they were supposed to. Based on the verbal account from staff and the written documentation of staff explaining the incident, the allegation regarding concern of inappropriate discipline is substantiated. Allegation regarding a concern that a child was not attended to in a nurturing and appropriate manner: Today Ms. Vickie explained that she had observed something of concern with the teacher in the room for school-age children on a prior day. When she brought the incident to the Director’s attention, she was directed to complete an observation of the classroom. On 12/30/24, she conducted the observation and did not observe anything until the end of the observation. Ms. Vickie explained she heard the staff member tell a child to stop whining and crying. She explained the child has some exceptionalities. She explained she takes care to speak directly to the child so they know they are heard and not shame the child. As documented above, the child stated they were scared to tell a staff member about the incident when they were pushed by a staff member’s body. It appears, when a child was upset, a staff member did not attend to the child in a nurturing and appropriate manner. Based on staff’s account of the incident, and written documentation from staff, the allegation regarding a concern that a child was not attended to in a nurturing and appropriate manner is substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member heard the staff member in the classroom for school-aged children tell a child to stop whining and crying. G.S. 110-91(10) 904 Child was handled roughly. A staff member pushed a school-aged child with their body. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/28/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 There were forty-five children present today. A space/capacity staff/child ratio sheet was not completed. TECHNICAL ASSISTANCE: Discipline: Appropriate discipline was also discussed with the owner/administrator. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. No form of corporal punishment is ever acceptable. No child shall be handled roughly in any way. You explained you were prepared to provide training and mentoring/modeling to the staff member. The staff member is no longer employed. Challenging Behaviors Helpline : Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Submit your questions to a Behavior Support Advisor online and receive a call or email in response. Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. There will also be opportunities to join free webinars on challenging topics or classroom activities. https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ A copy of this visit summary was emailed to you. You may contact me with questions at 919-819-9383 or antionette.williams@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: Childcare Network #61 Facility ID: 92003995 Consultant: ANTIONETTE WILLIAMS Operation Type: Center Case Number: 0125-034L Visit Date: 1/14/2025 Number Present: 45 Completed Date: 1/14/2025 Age: From 0 To 10 Total Minutes: 85 Time In: 03:25 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate complaint allegations regarding a concern of inappropriate discipline and concern regarding a child not attended to in a nurturing and appropriate manner or in keeping with the child’s developmental needs. My visit today was conducted with you Vickie Thompson and Kendra Mitchell, Assistant Directors. I walked through the facility and observed staff/child ratios, group size, supervision, space capacity, and use of licensed space complied. Children throughout the facility were departing as parents arrived for pick-up. Other children were playing outside, playing in activity areas, participating in one-on-one therapy, and transitioning to other classrooms and activities. I observed for an extended amount of time in the classroom with children ages three to ten years old. I observed staff talk with children about their interactions, redirect children, assist children with nose wiping, hand washing, unwanted actions, and assist children with activities. Additional school-aged children arrived much later after my visit started. I observed the children exiting the bus and entering the building and classroom. One child appeared to need assistance with a situation with another student and told the Assistant Director what they needed and why. The children talked back and forth to each other about the incident and the staff member asked questions to understand what was going on. Children washed their hands and moved on to other activities in the classroom. The allegations were discussed with two staff members as follows: Allegation regarding inappropriate discipline: We discussed an incident where a staff member was asked to leave the child care due to an incident with a school-aged child on 12/31/2024. One Assistant Director explained she was not present but was aware of the incident. She stated the Director, Ms. Rachel and the Assistant Director, Ms. Vickie, were present when the incident occurred. She did confirm the staff member is no longer employed at the facility. Ms. Rachel was not present today. According to Ms. Vickie, and written documentation she completed at the time of the incident on 12/31/2024, during departure a school-aged child’s mom asked the child how their day was. The child responded they had a bad day. Ms. Vickie explained she was present during the conversation between the child and the parent. She explained the child seemed reluctant to talk about what happened. The child explained the teacher pushed him with her body and caused the child to hit the wall. The child explained they were supposed to be washing their hands at the time of the incident. The child’s mom asked the child if they were telling the truth because what the child was saying was very serious. The child stated they were telling the truth. She also asked the child if the teacher’s action was an accident and the child said it was not. Ms. Vickie asked to speak with the child and asked why the child did not tell her. The child stated they were scared and did not want to start crying and have the other children calling them names. Ms. Vickie asked if any other children saw what happened. The child named three other children. Ms. Vickie talked with the three children individually. One child immediately, almost verbatim explained the teacher pushed the child while they were washing hands. A second child said yes, the incident occurred but did not give any details. A third child could not give any information about the incident. The next day the District Manager informed the Director to send the staff member home and to self-report the incident to DCDEE. This occurred around Noon. Before the staff member left, they inquired about their personal time off. Ms. Vickie explained that less than an hour later, the staff member returned and delivered their resignation. The statement completed by the staff member who is alleged to have pushed the child stated they were at the sink helping another child. The child came running up from behind the staff member as theyere turning around. The child collided into the staff member and was bumped by their hips. The staff member written statement notes the collision caused the child to fall. The staff member written statement notes, they warned the child that they should not have been running in the room to start with. It appears that a staff member used her body to push a child, causing the child to fall, when the child did not wash their hands when they were supposed to. Based on the verbal account from staff and the written documentation of staff explaining the incident, the allegation regarding concern of inappropriate discipline is substantiated. Allegation regarding a concern that a child was not attended to in a nurturing and appropriate manner: Today Ms. Vickie explained that she had observed something of concern with the teacher in the room for school-age children on a prior day. When she brought the incident to the Director’s attention, she was directed to complete an observation of the classroom. On 12/30/24, she conducted the observation and did not observe anything until the end of the observation. Ms. Vickie explained she heard the staff member tell a child to stop whining and crying. She explained the child has some exceptionalities. She explained she takes care to speak directly to the child so they know they are heard and not shame the child. As documented above, the child stated they were scared to tell a staff member about the incident when they were pushed by a staff member’s body. It appears, when a child was upset, a staff member did not attend to the child in a nurturing and appropriate manner. Based on staff’s account of the incident, and written documentation from staff, the allegation regarding a concern that a child was not attended to in a nurturing and appropriate manner is substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member heard the staff member in the classroom for school-aged children tell a child to stop whining and crying. G.S. 110-91(10) 904 Child was handled roughly. A staff member pushed a school-aged child with their body. .1803(a)(1) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 1/28/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 There were forty-five children present today. A space/capacity staff/child ratio sheet was not completed. TECHNICAL ASSISTANCE: Discipline: Appropriate discipline was also discussed with the owner/administrator. Each child must be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. No form of corporal punishment is ever acceptable. No child shall be handled roughly in any way. You explained you were prepared to provide training and mentoring/modeling to the staff member. The staff member is no longer employed. Challenging Behaviors Helpline : Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Submit your questions to a Behavior Support Advisor online and receive a call or email in response. Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. There will also be opportunities to join free webinars on challenging topics or classroom activities. https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ A copy of this visit summary was emailed to you. You may contact me with questions at 919-819-9383 or antionette.williams@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0804 · Violation

Name of Operation: Childcare Network #61 Facility ID: 92003995 Consultant: KIMBERLY WIMBERLY Operation Type: Center Case Number: 1224-030L Visit Date: 12/10/2024 Number Present: 72 Completed Date: 12/10/2024 Age: From 0 To 10 Total Minutes: 90 Time In: 11:20 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate complaint allegations regarding sanitation/health and program record keeping. Today’s visit was conducted with Rachel Kecy, the newly hired Director, via telephone due to the fact that Ms. Kecy was off site at a meeting. During the visit today, I verified that the owner of the center, Child Development Schools North Carolina, LLC is listed as current, active on the NC Secretary of State website as of 12-10-24. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor environment were monitored during my visit today. The license and emergency care plan were posted. Storage of hazardous products was monitored and observed to be in compliance. Sleeping baby checks were monitored for all infants ages 0-12 months old and I observed that there was a documentation form on a clipboard which was underneath paperwork but only one child’s name was on the sheets. There was also not a consistency in dates for documentation. Staff stated to me that they generally use a program in the tablet. I observed that staff made a note on what times the child napped but there was no indication of what time the child was checked or what position the child was in. We discussed that there must be a consistency in checking children when they are napping and if they choose to use the program which is on the tablet, some modifications must be made to document positions and what time the sleeping children were monitored. I discussed the allegations with Ms. Kecy and the findings are below. Allegation #1 – There is a concern related to sanitation and health. During the visit today, I interviewed the Infant and Toddler classroom staff regarding contagious illness that had been going around in the classrooms. Staff in the Infant classroom stated that they had three (3) cases of Hand, Foot & Mouth disease (HFMD) in their classroom since the week of November 18, 2024. Staff in the Toddler classroom stated to me that they have had seven (7) cases of Hand, Foot & Mouth disease since the week of November 18, 2024. We discussed what protocol was taken to deep clean the equipment and furnishings in the classrooms. The staff in the Toddler room stated the classroom remained open and one staff member deep cleaned the classroom while the children were in the care/supervision of the other staff member. Ms. Kecy stated to me that one side of the classroom was closed, and the children were relocated to the other side of the classroom and additional staff came in to clean the Toddler classroom. Due to conflicting statements from staff in the Toddler room and the Administrator, I am unable to determine if a deep cleaning without the children present occurred in an effort to sanitize and clean the classrooms in which Hand, Foot & Mouth (HFMD) disease had spread. During my observations today, I observed multiple incidents in which health and safety could be compromised. •Four children were observed with runny noses which were not addressed by staff until I made them aware. Staff #1 was assisting the children wash hands after they were done with lunch and Staff #2 was taking pictures of the children eating lunch with the tablet and posting for the parents to see. One child had mucus from their nose drop into the food on their plate and the child continued to eat the food as neither staff noticed or intervened when this occurred. When I advised staff to wipe the child’s nose, there was a delayed response for the action. •Multiple children were observed eating food off of the floor which had fallen off of their plate . •One child was observed drinking from another child’s sippy cup and then handed the sippy cup back to the other child and both children drank from the sippy cup. Due to staff #1 washing hands at the sink and staff #2 taking pictures and uploading them to the tablet for parents to see, staff were unaware of this occurring. Once staff were made aware, they did take the cup and place it back in the bin to go back to the Kitchen. No additional milk was offered to the children. At least one staff member should have been seated in between the two tables to be proactive with avoiding incidents such as this. •One child was observed running around the classroom eating off of the plates of several children. Staff were attempting to keep the child from eating off of the children’s plates, but no activity or re-direction was offered to distract the child. In situations like this, there should be transitional activities for the children to do while waiting for all children to finish eating. •One child took food from another child’s plate and staff were observed taking the piece of food from the child and put back on the plate for the child who was eating. I also requested to see the classroom cleaning duties for reference. Staff found the sheet with the duties underneath other papers. I discussed with staff that based on the classroom cleaning duties referenced on the sheet, chair legs were supposed to have been cleaned yesterday (12-9-24) but I observed that the chair legs had grime and dried food present. Staff discussed with me that they were aware of the cleaning duties but they were unsure as to which staff was to perform which of the cleaning tasks so staff were not aware which, if any, of the cleaning duties were being performed. As documented on the Centers for Disease Control (CDC) website, HFMD is caused by viruses. A person infected with one of these viruses is contagious. This means they can pass the virus easily to other people. HFMD can spread through contact with: •Droplets with virus particles made after a person sneezes, coughs, or talks •Objects and surfaces that have virus particles •Fluid from blisters •Poop HFMD is very contagious. To help prevent catching or spreading HFMD: •Wash your hands often with soap and water for at least 20 seconds, especially after changing diapers, using the toilet, and coughing, sneezing, or blowing your nose. •Help children wash their hands and keep blisters clean. •Avoid touching your face with unwashed hands, especially your eyes, nose, and mouth. •Clean and disinfect frequently touched surfaces and shared items, including toys and doorknobs. •Avoid close contact with an infected person, such as hugging or kissing them I also discussed with staff in the Toddler classroom how parents were made aware of HFMD in the classroom and staff #1 stated that they verbally told the parents but was unsure if all parents were made aware. Staff were unsure if any further communication with the parents occurred. Ms. Kecy stated to me that she alerted the parents of the children in the Infant classroom via e-mail as well as a sign was posted outside of the Infant room. Ms. Kecy could not confirm if the Assist Director followed through with alerting the parents of the children in the Toddler classroom prior to going on medical leave. Ms. Kecy also could not confirm if a sign was placed outside the Toddler classroom alerting parents of the HFMD. Proper care should be taken to control the spread of contagious diseases. Based on observations and staff interview, the allegation regarding sanitation and health is confirmed. The center is not practicing all measures to prevent the spread of viruses and contagious diseases. Allegation #2 – There is a concern related to incident reports. Staff were not able to locate current incident logs or incident reports during my visit today. The folder which was submitted to me contained incident reports from 2021. Inside this folder there was one incident report dated September 2024, but I did not see any reports after this date. Incident logs were not current. I reminded the Director that incident reports are required to be completed every time a child is injured while in care at the center and must be submitted to the DCDEE Child Care Consultant if care is received by a doctor or other medical professional. Incident logs are also required to be completed and must include all incident reports which are completed. Based on the fact that current incident reports could be located, this allegation is confirmed. Additionally during my visit today, we discussed if there were extra clothes available if there were instances when children forgot their coats or were dressed inappropriately for the temperatures outside. Staff in the Toddler room stated to me if there were no extra clothes available for children, such as a coat, the child stayed inside when the other children went outside to play. Ms. Kecy stated to me that there were not extra clothes available for children in the event of cold temperatures and children not having a coat. Ms. Kecy stated she sent a reminder via e-mail to the parents last week that they must bring an extra change of clothes for their child as well as making sure that coats come to the center with the children on days with cold temperatures. According to Child Care Rule .0806, the center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. It is the responsibility of the center to ensure that there are clean clothes available for children. The following violations were observed out of compliance during my visit today and must be corrected immediately. A corrective action letter stating how each violation has been corrected is due no later than December 24, 2024. The letter can be mailed or e-mailed to me at the address below. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports after September 2024 could not be located during my visit. Director was unsure if they had been completed for all injuries which have occurred since September 2024. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident logs for the 2024 year were not on file during my visit. .0802(g)(1-6) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. There was conflicting interviews as to what protocol was taken to clean/sanitize the Toddler classroom to prevent the spread of contagious virus. It was unclear if parents of all children enrolled in Toddler classrooms were not notified of the contagious virus which was confirmed in the classroom. There was no proof that a sign was posted outside of the classroom for parents to view and be made aware. 10A NCAC 09 .0804(b)(1) 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. Consistent and complete documentation was not on file for sleeping baby checks for infants 0-12 months. .0606(g) 1860 Staff did not provide assistance to each child to ensure good hygiene. Caregiver staff were not paying attention when children were eating off the floor, not wiping noses, or addressing children drinking and eating other children’s lunch. .0806(e) 1952 A copy of the incident report was not given to the parent. There was no documentation on file proving that copies of incident reports were given to parents. .0802(e) TECHNICAL ASSISTANCE: *Meal times for younger preschool age children can be busy and hectic. Meals and snacks help support children’s growth and development and can help children learn healthy habits, practice feeding themselves, explore new foods and strengthen their ability to use a spoon, fork and cup. A great resource for you to use for training purposes is “Meal Times with Toddlers” which can be found on the USDA website, www.fns.usda.gov. It is important for staff to model how to use a spoon or fork and proper table etiquette. Discussing the foods being served to the children which also helps engage them in the meal by discussing taste, textures, colors, etc. There should also be transition activities available for children who finish eating earlier than the other children, such as books or puzzles. Having cots/mats already laid out will give the children somewhere to go with the puzzle or book to work on quietly as the other children finish eating. *A clean environment helps keep children healthy and prevents the spread of germs. Sanitization is the cleaning and disinfection of classroom objects and materials. Toys, bathrooms, and classroom surfaces (e.g., tables and chairs) are touched by many people throughout the day. Without proper sanitization, germs linger on these surfaces and are transmitted to the next person who touches them. The germs may transmit a virus (e.g., common cold) or contagious diseases (i.e. HFMD). *If parents are unable to provide weather appropriate clothing for children, layer other T-shirts, sweatshirts in an effort to prevent the child without a jacket from being cold while outside. You could also ask in the parent newsletter for donations of weather appropriate clothes for a “center” supply when parents forget to send extra/clean clothes or outdoor clothing needed for the weather. Recommend adding the center name in permanent marker to all center clothing items to encourage parents to return any spare clothes that belong to the center. Remind parents that children go outside daily, and need coats, gloves, hats, etc. Remind parents to check the cubby or app to see if extra clothes are needed and to check if the spare clothes they sent still fit their child. Have staff periodically check that clothing still fits the child. Provide resources in the newsletter for parents on community resources for clothing. *For additional assistance with training for staff on preventing the spread of contagious diseases, please contact Karla Cooper, Wake County Child Care Consultant at 919-250-1192 or Karla.Cooper@wakegov.com. She is assigned to your zip code and would be a great resource to use. I discussed with you today that I left a Preservice for Administrators form which must be completed to indicate that there is a new Director in place effective 11-25-24. This form can be mailed to me or emailed. 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. Please feel free to call me with questions. Kim Wimberly PO Box 609 Knightdale, NC 27545 919-819-9387 Kim.Wimberly@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: Childcare Network #61 Facility ID: 92003995 Consultant: KIMBERLY WIMBERLY Operation Type: Center Case Number: 1224-030L Visit Date: 12/10/2024 Number Present: 72 Completed Date: 12/10/2024 Age: From 0 To 10 Total Minutes: 90 Time In: 11:20 AM Time Out: 12:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to investigate complaint allegations regarding sanitation/health and program record keeping. Today’s visit was conducted with Rachel Kecy, the newly hired Director, via telephone due to the fact that Ms. Kecy was off site at a meeting. During the visit today, I verified that the owner of the center, Child Development Schools North Carolina, LLC is listed as current, active on the NC Secretary of State website as of 12-10-24. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor environment were monitored during my visit today. The license and emergency care plan were posted. Storage of hazardous products was monitored and observed to be in compliance. Sleeping baby checks were monitored for all infants ages 0-12 months old and I observed that there was a documentation form on a clipboard which was underneath paperwork but only one child’s name was on the sheets. There was also not a consistency in dates for documentation. Staff stated to me that they generally use a program in the tablet. I observed that staff made a note on what times the child napped but there was no indication of what time the child was checked or what position the child was in. We discussed that there must be a consistency in checking children when they are napping and if they choose to use the program which is on the tablet, some modifications must be made to document positions and what time the sleeping children were monitored. I discussed the allegations with Ms. Kecy and the findings are below. Allegation #1 – There is a concern related to sanitation and health. During the visit today, I interviewed the Infant and Toddler classroom staff regarding contagious illness that had been going around in the classrooms. Staff in the Infant classroom stated that they had three (3) cases of Hand, Foot & Mouth disease (HFMD) in their classroom since the week of November 18, 2024. Staff in the Toddler classroom stated to me that they have had seven (7) cases of Hand, Foot & Mouth disease since the week of November 18, 2024. We discussed what protocol was taken to deep clean the equipment and furnishings in the classrooms. The staff in the Toddler room stated the classroom remained open and one staff member deep cleaned the classroom while the children were in the care/supervision of the other staff member. Ms. Kecy stated to me that one side of the classroom was closed, and the children were relocated to the other side of the classroom and additional staff came in to clean the Toddler classroom. Due to conflicting statements from staff in the Toddler room and the Administrator, I am unable to determine if a deep cleaning without the children present occurred in an effort to sanitize and clean the classrooms in which Hand, Foot & Mouth (HFMD) disease had spread. During my observations today, I observed multiple incidents in which health and safety could be compromised. •Four children were observed with runny noses which were not addressed by staff until I made them aware. Staff #1 was assisting the children wash hands after they were done with lunch and Staff #2 was taking pictures of the children eating lunch with the tablet and posting for the parents to see. One child had mucus from their nose drop into the food on their plate and the child continued to eat the food as neither staff noticed or intervened when this occurred. When I advised staff to wipe the child’s nose, there was a delayed response for the action. •Multiple children were observed eating food off of the floor which had fallen off of their plate . •One child was observed drinking from another child’s sippy cup and then handed the sippy cup back to the other child and both children drank from the sippy cup. Due to staff #1 washing hands at the sink and staff #2 taking pictures and uploading them to the tablet for parents to see, staff were unaware of this occurring. Once staff were made aware, they did take the cup and place it back in the bin to go back to the Kitchen. No additional milk was offered to the children. At least one staff member should have been seated in between the two tables to be proactive with avoiding incidents such as this. •One child was observed running around the classroom eating off of the plates of several children. Staff were attempting to keep the child from eating off of the children’s plates, but no activity or re-direction was offered to distract the child. In situations like this, there should be transitional activities for the children to do while waiting for all children to finish eating. •One child took food from another child’s plate and staff were observed taking the piece of food from the child and put back on the plate for the child who was eating. I also requested to see the classroom cleaning duties for reference. Staff found the sheet with the duties underneath other papers. I discussed with staff that based on the classroom cleaning duties referenced on the sheet, chair legs were supposed to have been cleaned yesterday (12-9-24) but I observed that the chair legs had grime and dried food present. Staff discussed with me that they were aware of the cleaning duties but they were unsure as to which staff was to perform which of the cleaning tasks so staff were not aware which, if any, of the cleaning duties were being performed. As documented on the Centers for Disease Control (CDC) website, HFMD is caused by viruses. A person infected with one of these viruses is contagious. This means they can pass the virus easily to other people. HFMD can spread through contact with: •Droplets with virus particles made after a person sneezes, coughs, or talks •Objects and surfaces that have virus particles •Fluid from blisters •Poop HFMD is very contagious. To help prevent catching or spreading HFMD: •Wash your hands often with soap and water for at least 20 seconds, especially after changing diapers, using the toilet, and coughing, sneezing, or blowing your nose. •Help children wash their hands and keep blisters clean. •Avoid touching your face with unwashed hands, especially your eyes, nose, and mouth. •Clean and disinfect frequently touched surfaces and shared items, including toys and doorknobs. •Avoid close contact with an infected person, such as hugging or kissing them I also discussed with staff in the Toddler classroom how parents were made aware of HFMD in the classroom and staff #1 stated that they verbally told the parents but was unsure if all parents were made aware. Staff were unsure if any further communication with the parents occurred. Ms. Kecy stated to me that she alerted the parents of the children in the Infant classroom via e-mail as well as a sign was posted outside of the Infant room. Ms. Kecy could not confirm if the Assist Director followed through with alerting the parents of the children in the Toddler classroom prior to going on medical leave. Ms. Kecy also could not confirm if a sign was placed outside the Toddler classroom alerting parents of the HFMD. Proper care should be taken to control the spread of contagious diseases. Based on observations and staff interview, the allegation regarding sanitation and health is confirmed. The center is not practicing all measures to prevent the spread of viruses and contagious diseases. Allegation #2 – There is a concern related to incident reports. Staff were not able to locate current incident logs or incident reports during my visit today. The folder which was submitted to me contained incident reports from 2021. Inside this folder there was one incident report dated September 2024, but I did not see any reports after this date. Incident logs were not current. I reminded the Director that incident reports are required to be completed every time a child is injured while in care at the center and must be submitted to the DCDEE Child Care Consultant if care is received by a doctor or other medical professional. Incident logs are also required to be completed and must include all incident reports which are completed. Based on the fact that current incident reports could be located, this allegation is confirmed. Additionally during my visit today, we discussed if there were extra clothes available if there were instances when children forgot their coats or were dressed inappropriately for the temperatures outside. Staff in the Toddler room stated to me if there were no extra clothes available for children, such as a coat, the child stayed inside when the other children went outside to play. Ms. Kecy stated to me that there were not extra clothes available for children in the event of cold temperatures and children not having a coat. Ms. Kecy stated she sent a reminder via e-mail to the parents last week that they must bring an extra change of clothes for their child as well as making sure that coats come to the center with the children on days with cold temperatures. According to Child Care Rule .0806, the center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. It is the responsibility of the center to ensure that there are clean clothes available for children. The following violations were observed out of compliance during my visit today and must be corrected immediately. A corrective action letter stating how each violation has been corrected is due no later than December 24, 2024. The letter can be mailed or e-mailed to me at the address below. Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports after September 2024 could not be located during my visit. Director was unsure if they had been completed for all injuries which have occurred since September 2024. .0802 (e) 853 Incident logs were not completed and maintained as required. Incident logs for the 2024 year were not on file during my visit. .0802(g)(1-6) 875 The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800. There was conflicting interviews as to what protocol was taken to clean/sanitize the Toddler classroom to prevent the spread of contagious virus. It was unclear if parents of all children enrolled in Toddler classrooms were not notified of the contagious virus which was confirmed in the classroom. There was no proof that a sign was posted outside of the classroom for parents to view and be made aware. 10A NCAC 09 .0804(b)(1) 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. Consistent and complete documentation was not on file for sleeping baby checks for infants 0-12 months. .0606(g) 1860 Staff did not provide assistance to each child to ensure good hygiene. Caregiver staff were not paying attention when children were eating off the floor, not wiping noses, or addressing children drinking and eating other children’s lunch. .0806(e) 1952 A copy of the incident report was not given to the parent. There was no documentation on file proving that copies of incident reports were given to parents. .0802(e) TECHNICAL ASSISTANCE: *Meal times for younger preschool age children can be busy and hectic. Meals and snacks help support children’s growth and development and can help children learn healthy habits, practice feeding themselves, explore new foods and strengthen their ability to use a spoon, fork and cup. A great resource for you to use for training purposes is “Meal Times with Toddlers” which can be found on the USDA website, www.fns.usda.gov. It is important for staff to model how to use a spoon or fork and proper table etiquette. Discussing the foods being served to the children which also helps engage them in the meal by discussing taste, textures, colors, etc. There should also be transition activities available for children who finish eating earlier than the other children, such as books or puzzles. Having cots/mats already laid out will give the children somewhere to go with the puzzle or book to work on quietly as the other children finish eating. *A clean environment helps keep children healthy and prevents the spread of germs. Sanitization is the cleaning and disinfection of classroom objects and materials. Toys, bathrooms, and classroom surfaces (e.g., tables and chairs) are touched by many people throughout the day. Without proper sanitization, germs linger on these surfaces and are transmitted to the next person who touches them. The germs may transmit a virus (e.g., common cold) or contagious diseases (i.e. HFMD). *If parents are unable to provide weather appropriate clothing for children, layer other T-shirts, sweatshirts in an effort to prevent the child without a jacket from being cold while outside. You could also ask in the parent newsletter for donations of weather appropriate clothes for a “center” supply when parents forget to send extra/clean clothes or outdoor clothing needed for the weather. Recommend adding the center name in permanent marker to all center clothing items to encourage parents to return any spare clothes that belong to the center. Remind parents that children go outside daily, and need coats, gloves, hats, etc. Remind parents to check the cubby or app to see if extra clothes are needed and to check if the spare clothes they sent still fit their child. Have staff periodically check that clothing still fits the child. Provide resources in the newsletter for parents on community resources for clothing. *For additional assistance with training for staff on preventing the spread of contagious diseases, please contact Karla Cooper, Wake County Child Care Consultant at 919-250-1192 or Karla.Cooper@wakegov.com. She is assigned to your zip code and would be a great resource to use. I discussed with you today that I left a Preservice for Administrators form which must be completed to indicate that there is a new Director in place effective 11-25-24. This form can be mailed to me or emailed. 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. Please feel free to call me with questions. Kim Wimberly PO Box 609 Knightdale, NC 27545 919-819-9387 Kim.Wimberly@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