Childrens Lighthouse Learning Center

GS110-91 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/15/2026 Number Present: 163 Completed Date: 4/15/2026 Age: From 0 To 5 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. This documentation was reviewed with you, and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center director, Cammie Bey, and we conducted a general walk through of the indoor and outdoor learning environments. I observed groups of children engaged in free play or group time in their classrooms and 2 classrooms enjoying outdoor play. I also observed infant rest time and diapering in one of the younger classrooms. RATED LICENSE STATUS The program operates with a 5star rated license issued on 11/7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. During today’s visit we discussed the center’s progress on their QRIS pathway. The center selected Pathway 3 and Cammie stated that their COGNIA visit is scheduled for this week. They anticipate receiving notification of accreditation within the next month. We discussed the items to submit once their receive their accreditation certificate. INSPECTIONS The last sanitation inspection was completed on 4/21/25. You stated that you have contacted your inspector to remind them that you are due a visit. The last fire inspection was completed on 12/6/25. The last documented fire drill was conducted on 3/6/26. The last documented lock down or shelter-in-place drill was conducted on 1/21/26. The last documented playground inspection was conducted on 3/27/26. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, TK Education, Inc., is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 5/1/25 – 4/30/26. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation for visually checking sleeping infants was not completed for 4/14/26. .0606(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children did not have a health assessment record in their file today. GS110-91(1) The above violations must be corrected immediately. By 4/29/26 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 97%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE Checking and documenting infant sleep positions at least every 15 minutes is required because it is one of the safest ways to ensure that centers are providing a safe sleep environment. During today’s visit Classroom #1 had not documented sleep position checks for yesterday. The teacher’s show me on the tablet that nap times had been documented for yesterday, but this only recorded the child sleep and awake times, not the 15 minute checks. Please remind staff that infant sleep positions must be documented at least once every 15 minutes anytime an infant is sleeping. It may be helpful to set a 15- minute timer anytime any infants are sleeping. Once the sleep positions are documented, the time can be reset until all infants are awake. The timer serves as an auditory reminder to check and document sleep positions as required by child care rules. Two of the 17 children’s files reviewed today did not have medical statements. This document must be submitted to the center within the child’s first 30 days of enrollment in the center. The document provides the center with valuable health information as the center provides care or in the event of an emergency. Please contact these parents and ask them to provide that information as soon as possible. . CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. Your water was last tested for lead on 4/17/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The program was determined to be exempt from this testing. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle but you must register separately for this training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. ACCESS TO THE ABCMS SYSTEM: I gave you a roster from the ABCMS system today. We discussed the edits that should be made to your roster. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements and the new QRIS requirements. If you need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: TRACY STANLEY Operation Type: Center Case Number: 0725-316A Visit Date: 7/29/2025 Number Present: 133 Completed Date: 7/29/2025 Age: From 0 To 5 Total Minutes: 75 Time In: 10:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cammie Bey, director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Bey and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. 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 did not engage with a child in an appropriate manner when they staff member held a child on the ground by wrapping their legs over the child and holding their arms. G.S. 110-91(10) You may contact me Tracy Stanley, Lead Investigations Consultant at 919-819-9382, or tracy.stanley@dhhs.nc.gov or Sheronda Harris, Investigations Supervisor at Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 4/21/2025 Number Present: 147 Completed Date: 4/21/2025 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during an unannounced, annual compliance visit. The director, Cammie Bey, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed infant rest time and meal time. The older groups were engaged in free play or large group activities in their classrooms or on the playground. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 1 /7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should continue to have staff register and submit their transcripts to WORKS to have their education assessed. Best practice is to complete this process during staff orientation. INSPECTIONS The last documented sanitation inspection was conducted on 12/3/24. The last documented fire inspection was conducted on 12/6/25. The last documented fire drill was conducted on 3/31/25. The last documented shelter-in-place or lockdown drill was conducted on 3/5/25. The last documented playground inspection was conducted on 3/28/25. The program’s owner, TK Education, Inc., is listed as current and active on the NC Secretary of State’s website. A full compliance checklist was used for today’s visit. Items on this checklist were confirmed in compliance or otherwise noted in this report. The program does not transport children or enroll school-aged children; therefore, these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 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. This document was missing from 5 of the new staff files reviewed today. 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. This form was missing or expired in 4 of the staff files reviewed today. .0701(a) The above violations must be corrected immediately. By 5/6/25 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 90%. TECHNICAL ASSISTANCE Multiple staff files were missing staff medical reports and/or tb tests. Some of these were missing from the file, and one staff’s forms were more than one year old when they were hired. These forms are a “prior to employment” requirement, so they should be in their file on their first day of employment and they should not be accepted in they were dated more than one year prior. CONSULTATION All childcare facilities are required to test their drinking and cooking water for led every three years. Your water was last tested, 4/17/24. For more information, you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. The deadline to complete this was extended to May 31, 2025. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. Updates on the new QRIS proposed rules in available on the DCDEE website in the “What’s New” tab. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 151 Completed Date: 12/5/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during a routine unannounced visit. The director, Cammie Bey, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children engaged in free play or group time in their classrooms or on the playground. I also observed infant meal time. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 11/7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should also ensure that all staff have registered and have their education assessed in WORKS. It is recommended that you complete this process as part of your onboarding process with new hires and as existing staff members complete additional coursework. INSPECTIONS The last sanitation inspection was conducted 5/6/24. The last fire inspection was conducted 2/12/24, however, the checklist was not completed during that visit. I reviewed the center’s inspection report and confirmed that there were no concerns. Please reach out to the fire inspector and ask him to complete the checklist. Once completed, please email a copy to me. The last documented fire drill was conducted 11/27/24. The last documented shelter-in-place or lockdown drill was conducted 9/26/24. The last documented playground inspection was conducted 11/27/24. The status of the owners, TK Education, Inc., is listed as current and active on the NC Secretary of State website. Limited monitoring of child care requirements was assessed during today’s visit. I reviewed emergency medications, 3 new staff files and confirmed that all staff have current CPR, First Aid and ITS SIDS certificates, as required. The program does not transport children or enroll school aged children, therefore, these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. A child's epi-pen expired August 2024. 10A NCAC 09 .0803(1)(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medication authorization form was not dated. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The medication was removed from the classroom during the visit and the violation is marked as corrected during the visit, so a compliance letter is not required. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 92%. TECHNICAL ASSISTANCE It is crucial to ensure that medications policies are maintained so that children received the appropriate medications and all authorizations are current. One child’s epi-pen expired in August 2024 and there were no dates on the medication authorization form that was signed by the parent. Periodically, all center medications and all accompanying documents should be checked. It is also a best practice to have parents drop all medications and authorization forms at the front desk. Once it is confirmed that this meets child care requirements, then the medication can be placed in the classroom. REMINDERS The owner, Sheetal Thomas’ qualification letter expires 1/9/25. She should begin the renewal process soon to avoid a lapse. CONSULTATION All child care facilities are required to test their drinking and cooking water for led every three years. Your water was tested for lead on 4/17/24. For more information, you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: PAMELIA CARMON Operation Type: Center Case Number: 0624-006A Visit Date: 6/7/2024 Number Present: 109 Completed Date: 6/7/2024 Age: From 0 To 5 Total Minutes: 65 Time In: 08:25 AM Time Out: 09:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cammie Bey, director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Bey. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On multiple occasions in May and June 2024, some classroom did not maintain required staff child ratios. GS 110-91(7);.0713(a-d) 853 Incident logs were not completed and maintained as required. Center management failed to record serious incidents involving children on the incident log. .0802(g)(1-6) 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 lifted a child by one arm, grabbed a child causing a red mark on the child that lasted thirty (30) minutes, pushed a child, yelled at a child, stuck their fingernails in the child's foot, and restrained a child. Another staff member sprayed a child on the face with a water from a water hose and made a demeaning statement about the child in the presence of the child. G.S. 110-91(10) 1952 A copy of the incident report was not given to the parent. Staff members failed to complete and provide a parent with an incident report after a child received an injury at the center that required medical treatment. .0802(e) You may contact me Pamelia Carmon, Investigations Consultant at 919-280-2252, or pamelia.carmon@dhhs.nc.gov or Sheronda Harris, Investigations Supervisor at Sheronda.harris@dhhs.nc.gov. Thank you for your time. 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: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: PAMELIA CARMON Operation Type: Center Case Number: 0624-006A Visit Date: 6/7/2024 Number Present: 109 Completed Date: 6/7/2024 Age: From 0 To 5 Total Minutes: 65 Time In: 08:25 AM Time Out: 09:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Cammie Bey, director accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Bey. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On multiple occasions in May and June 2024, some classroom did not maintain required staff child ratios. GS 110-91(7);.0713(a-d) 853 Incident logs were not completed and maintained as required. Center management failed to record serious incidents involving children on the incident log. .0802(g)(1-6) 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 lifted a child by one arm, grabbed a child causing a red mark on the child that lasted thirty (30) minutes, pushed a child, yelled at a child, stuck their fingernails in the child's foot, and restrained a child. Another staff member sprayed a child on the face with a water from a water hose and made a demeaning statement about the child in the presence of the child. G.S. 110-91(10) 1952 A copy of the incident report was not given to the parent. Staff members failed to complete and provide a parent with an incident report after a child received an injury at the center that required medical treatment. .0802(e) You may contact me Pamelia Carmon, Investigations Consultant at 919-280-2252, or pamelia.carmon@dhhs.nc.gov or Sheronda Harris, Investigations Supervisor at Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 158 Completed Date: 5/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Vanessa Price, Child Care Consultant accompanied me on today’s visit. Upon arrival, I was greeted by the center director, Cammie Bey and we conducted a general walk through of the indoor and outdoor learning environments. We observed RATED LICENSE STATUS The program operates with a 5-star rated license issued on 11/7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS The last sanitation was completed on 5/6/24. The last fire inspection was completed 7/17/23. The last documented fire drill was conducted 4/26/24. The last documented lock down or shelter-in-place drill was conducted 3/21/24. The last documented playground inspection was conducted 4/18/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The program does not provide transportation, therefore these requirements were not assessed. This compliance visit was conducted early, so the center’s ongoing training requirements were prorated to reflect this change. Staff training was assessed today from 8/1/23-5/31/24. Some staff have outstanding training hours to complete before 5/31/24. Moving forward, your staff training will be assessed from June 1 – May 31 of each year. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two staff personal bags hanging on the door of an unlocked closet. 10A NCAC 09 .0601(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 did not have a medical report in their file. 10A NCAC 09 .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment was missing from two children's files. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children's medication forms had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete training in all the required training topics within their first year of employment. .1102(a) The above violations must be corrected immediately. By 6/3/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 96%. TECHNICAL ASSISTANCE Two children’s medication forms were expired today. It is important to keep this information current to ensure that children receive the proper dosage of medication. Some programs have a spread sheet to track when medication forms are due and other programs have a designated staff member review all center medication and forms on a monthly or quarterly basis. A double closet was locked, but the doors were unlatched so they could easily be pulled open. Hanging in the closet were two staff purses or personal bags. Staff should be reminded to keep all personal items in locked storage to ensure that children do not have access to potentially hazardous materials. Two children, who have been enrolled more than 30 days, did not have a child health assessment on file. Having information on a child’s medical history is important information the center needs to care for the children and is vital information in the event of an emergency. Setting a calendar reminder to note when medical forms are due will help you track this information. However, if you have reminded the parents and you have still not received the medical report, the child should not be permitted to return to the center until the report is received. One staff member did not complete training in all the required health and safety topics within their first year of employment. Using the health and safety training log will help ensure that training in all the required topics is completed. One staff member does not have a medical report of file. The director stated that she thought the staff member had turned in the report, but it could not be located. The staff member will need to get you a copy of the report or have another physical exam. CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. ENVIRONMENT RATING ASSESSMENT Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 4/16/24, 4/17/24 and 4/23/24 and today, we discussed the results of the assessment STAFF EDUCATION The center received 7 points on their current license. Staff education will be assessed closer to the time when we issue your rated license. PROGRAM STANDARDS The center received 6 points on their current license. The Operational policies for the facility have been previously approved. This program wishes to maintain enhanced standards in space and in staff/child ratios. The ITERS-R received scores of 3.67 and 3.78 The ECERS-R received scores of 4.86 and 5.11 Overall average of scores is not calculated because one or more of the scales scored below a 4.0. QUALITY POINT 1 point The facility has chosen the programmatic option of having approved enhanced policies, a staff benefit package and an infrastructure for parent involvement. ***It is important to note that a reduction in points earned in any of the Rated License Components may result in a reduction in the stars received on your star-rated license. CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.3, 3.4 There were concerns with staff and child hand washing. You should review handwashing procedure and times when hand washing should occur We discussed Meal Pattern requirements. There are medical notes on file for some of the children and the others told the teacher that they do not like milk. Please remind staff that unless there is a food allergy, the children should be served all components of the meal. Item 8 Indicator 3.1, 3.2 Two infants cried and the teachers stated that they were tired, but it was 46 minutes to 1 hour before the infants were helped to go to sleep. Infant schedules should be individualized to address each child’s needs. Staff should respond at the earliest opportunity to each child’s needs. It was noted that 2 cribs are positioned in an L shape and crib rails were 7 inches apart. We discussed strategies to ensure that all cribs are at least 18 inches apart or separated by a solid barrier. Also, it was noted that an infant was placed in their crib on their stomach. This was not observed during today’s visit, but staff should be reminded that unless there is a waiver on file, all infants should be placed on their backs in their cribs. Item 9, Indicator 3.1, 3.2, 3.3 If a sink is used for diapering and general hand washing purposes, the sink must be cleaned and disinfected after diapering hand washing. We discussed strategies to ensure that multi-use sinks are properly cleaned and sanitized as required. There were steps in the diapering procedures that were missed; these include preparation before diapering, using wipes to clean hands before touching the clean diaper, cleaning and sanitizing the diapering areas and staff and child hand washing. Proper diapering procedures should be reviewed with all staff who are responsible for diapering. I confirmed today that there are diapering posters in all diapering areas; staff should refer to the posters for guidance. Item 10, Indicators 1.3 and 3.2 A staff reported that infants who are sick are placed in the vinyl nesting pool until their parent arrives to take them home. This area is accessible to other children. We discussed the center’s procedures and you stated that infants usually are brought to an administrator, however, with staffing there have been times when there was no administrator available. In those cases, it may be best to place the child in their crib to limit their contact with other children. Review times that staff and children’s handwashing should be completed. I confirmed that there are handwashing posters in all the handwashing areas; staff should refer to the posters for guidance. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by since this may irritate their eyes or lungs. Teachers should lift the children under their arms to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 16, 3.2 A staff member stated that children have not been going outside because they have not received permission forms for sunscreen. While it is important that infants are protected from the sun, they still must have a minimum of 30 minutes of outdoor play, each day, weather permitting. Each outdoor play area should have some shading where infants can play. A canopy to cover the buggy during walks is another option for protecting the infants from the sun. Item 25, Indicator 3.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. Supervision during meal times is especially important because young children are at a risk of choking when they are eating. ECERS-R Item 10, Indicator 3.1, 3.3 We discussed meal pattern requirements and it was determined that staff should offer all components of the meal, unless there is a doctor’s note on file. Review the times and situations when tables should be cleaned and sanitized for meal time. Review hand washing procedures with all staff to ensure that proper handwashing occurs. Item 11,Indicators 3.2 It was noted that two cots were placed 14 inches apart. Sanitation requires that cots be placed at least 18 inches apart or be separated by a solid, washable barrier that extends the length of the cot. Item 13, Indicator 5.3 We discussed the center’s procedures for changing children’s clothing when they become soiled. There are extra clothing available and you will remind staff to promptly change children when their clothing is soiled. Item 14, Indicator 3.1 Staff should ensure that children are not close by when sanitizer or disinfectant solutions are sprayed as this may irritate the children’s eyes or lungs. Item 34, Indicator 3.1 Children should have at least 1 hour of outdoor play, daily, weather permitting. AGENCY UPDATES Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 158 Completed Date: 5/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Vanessa Price, Child Care Consultant accompanied me on today’s visit. Upon arrival, I was greeted by the center director, Cammie Bey and we conducted a general walk through of the indoor and outdoor learning environments. We observed RATED LICENSE STATUS The program operates with a 5-star rated license issued on 11/7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS The last sanitation was completed on 5/6/24. The last fire inspection was completed 7/17/23. The last documented fire drill was conducted 4/26/24. The last documented lock down or shelter-in-place drill was conducted 3/21/24. The last documented playground inspection was conducted 4/18/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The program does not provide transportation, therefore these requirements were not assessed. This compliance visit was conducted early, so the center’s ongoing training requirements were prorated to reflect this change. Staff training was assessed today from 8/1/23-5/31/24. Some staff have outstanding training hours to complete before 5/31/24. Moving forward, your staff training will be assessed from June 1 – May 31 of each year. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two staff personal bags hanging on the door of an unlocked closet. 10A NCAC 09 .0601(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 did not have a medical report in their file. 10A NCAC 09 .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment was missing from two children's files. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children's medication forms had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete training in all the required training topics within their first year of employment. .1102(a) The above violations must be corrected immediately. By 6/3/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 96%. TECHNICAL ASSISTANCE Two children’s medication forms were expired today. It is important to keep this information current to ensure that children receive the proper dosage of medication. Some programs have a spread sheet to track when medication forms are due and other programs have a designated staff member review all center medication and forms on a monthly or quarterly basis. A double closet was locked, but the doors were unlatched so they could easily be pulled open. Hanging in the closet were two staff purses or personal bags. Staff should be reminded to keep all personal items in locked storage to ensure that children do not have access to potentially hazardous materials. Two children, who have been enrolled more than 30 days, did not have a child health assessment on file. Having information on a child’s medical history is important information the center needs to care for the children and is vital information in the event of an emergency. Setting a calendar reminder to note when medical forms are due will help you track this information. However, if you have reminded the parents and you have still not received the medical report, the child should not be permitted to return to the center until the report is received. One staff member did not complete training in all the required health and safety topics within their first year of employment. Using the health and safety training log will help ensure that training in all the required topics is completed. One staff member does not have a medical report of file. The director stated that she thought the staff member had turned in the report, but it could not be located. The staff member will need to get you a copy of the report or have another physical exam. CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. ENVIRONMENT RATING ASSESSMENT Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 4/16/24, 4/17/24 and 4/23/24 and today, we discussed the results of the assessment STAFF EDUCATION The center received 7 points on their current license. Staff education will be assessed closer to the time when we issue your rated license. PROGRAM STANDARDS The center received 6 points on their current license. The Operational policies for the facility have been previously approved. This program wishes to maintain enhanced standards in space and in staff/child ratios. The ITERS-R received scores of 3.67 and 3.78 The ECERS-R received scores of 4.86 and 5.11 Overall average of scores is not calculated because one or more of the scales scored below a 4.0. QUALITY POINT 1 point The facility has chosen the programmatic option of having approved enhanced policies, a staff benefit package and an infrastructure for parent involvement. ***It is important to note that a reduction in points earned in any of the Rated License Components may result in a reduction in the stars received on your star-rated license. CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.3, 3.4 There were concerns with staff and child hand washing. You should review handwashing procedure and times when hand washing should occur We discussed Meal Pattern requirements. There are medical notes on file for some of the children and the others told the teacher that they do not like milk. Please remind staff that unless there is a food allergy, the children should be served all components of the meal. Item 8 Indicator 3.1, 3.2 Two infants cried and the teachers stated that they were tired, but it was 46 minutes to 1 hour before the infants were helped to go to sleep. Infant schedules should be individualized to address each child’s needs. Staff should respond at the earliest opportunity to each child’s needs. It was noted that 2 cribs are positioned in an L shape and crib rails were 7 inches apart. We discussed strategies to ensure that all cribs are at least 18 inches apart or separated by a solid barrier. Also, it was noted that an infant was placed in their crib on their stomach. This was not observed during today’s visit, but staff should be reminded that unless there is a waiver on file, all infants should be placed on their backs in their cribs. Item 9, Indicator 3.1, 3.2, 3.3 If a sink is used for diapering and general hand washing purposes, the sink must be cleaned and disinfected after diapering hand washing. We discussed strategies to ensure that multi-use sinks are properly cleaned and sanitized as required. There were steps in the diapering procedures that were missed; these include preparation before diapering, using wipes to clean hands before touching the clean diaper, cleaning and sanitizing the diapering areas and staff and child hand washing. Proper diapering procedures should be reviewed with all staff who are responsible for diapering. I confirmed today that there are diapering posters in all diapering areas; staff should refer to the posters for guidance. Item 10, Indicators 1.3 and 3.2 A staff reported that infants who are sick are placed in the vinyl nesting pool until their parent arrives to take them home. This area is accessible to other children. We discussed the center’s procedures and you stated that infants usually are brought to an administrator, however, with staffing there have been times when there was no administrator available. In those cases, it may be best to place the child in their crib to limit their contact with other children. Review times that staff and children’s handwashing should be completed. I confirmed that there are handwashing posters in all the handwashing areas; staff should refer to the posters for guidance. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by since this may irritate their eyes or lungs. Teachers should lift the children under their arms to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 16, 3.2 A staff member stated that children have not been going outside because they have not received permission forms for sunscreen. While it is important that infants are protected from the sun, they still must have a minimum of 30 minutes of outdoor play, each day, weather permitting. Each outdoor play area should have some shading where infants can play. A canopy to cover the buggy during walks is another option for protecting the infants from the sun. Item 25, Indicator 3.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. Supervision during meal times is especially important because young children are at a risk of choking when they are eating. ECERS-R Item 10, Indicator 3.1, 3.3 We discussed meal pattern requirements and it was determined that staff should offer all components of the meal, unless there is a doctor’s note on file. Review the times and situations when tables should be cleaned and sanitized for meal time. Review hand washing procedures with all staff to ensure that proper handwashing occurs. Item 11,Indicators 3.2 It was noted that two cots were placed 14 inches apart. Sanitation requires that cots be placed at least 18 inches apart or be separated by a solid, washable barrier that extends the length of the cot. Item 13, Indicator 5.3 We discussed the center’s procedures for changing children’s clothing when they become soiled. There are extra clothing available and you will remind staff to promptly change children when their clothing is soiled. Item 14, Indicator 3.1 Staff should ensure that children are not close by when sanitizer or disinfectant solutions are sprayed as this may irritate the children’s eyes or lungs. Item 34, Indicator 3.1 Children should have at least 1 hour of outdoor play, daily, weather permitting. AGENCY UPDATES Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: CHILDRENS LIGHTHOUSE LEARNING CENTER Facility ID: 92003448 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 5/20/2024 Number Present: 158 Completed Date: 5/20/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance with rated license assessment. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Vanessa Price, Child Care Consultant accompanied me on today’s visit. Upon arrival, I was greeted by the center director, Cammie Bey and we conducted a general walk through of the indoor and outdoor learning environments. We observed RATED LICENSE STATUS The program operates with a 5-star rated license issued on 11/7/17. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. INSPECTIONS The last sanitation was completed on 5/6/24. The last fire inspection was completed 7/17/23. The last documented fire drill was conducted 4/26/24. The last documented lock down or shelter-in-place drill was conducted 3/21/24. The last documented playground inspection was conducted 4/18/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The program does not provide transportation, therefore these requirements were not assessed. This compliance visit was conducted early, so the center’s ongoing training requirements were prorated to reflect this change. Staff training was assessed today from 8/1/23-5/31/24. Some staff have outstanding training hours to complete before 5/31/24. Moving forward, your staff training will be assessed from June 1 – May 31 of each year. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were two staff personal bags hanging on the door of an unlocked closet. 10A NCAC 09 .0601(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 did not have a medical report in their file. 10A NCAC 09 .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment was missing from two children's files. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Two children's medication forms had expired. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1898 Staff did not complete the health and safety training within one year of employment. One staff member did not complete training in all the required training topics within their first year of employment. .1102(a) The above violations must be corrected immediately. By 6/3/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 96%. TECHNICAL ASSISTANCE Two children’s medication forms were expired today. It is important to keep this information current to ensure that children receive the proper dosage of medication. Some programs have a spread sheet to track when medication forms are due and other programs have a designated staff member review all center medication and forms on a monthly or quarterly basis. A double closet was locked, but the doors were unlatched so they could easily be pulled open. Hanging in the closet were two staff purses or personal bags. Staff should be reminded to keep all personal items in locked storage to ensure that children do not have access to potentially hazardous materials. Two children, who have been enrolled more than 30 days, did not have a child health assessment on file. Having information on a child’s medical history is important information the center needs to care for the children and is vital information in the event of an emergency. Setting a calendar reminder to note when medical forms are due will help you track this information. However, if you have reminded the parents and you have still not received the medical report, the child should not be permitted to return to the center until the report is received. One staff member did not complete training in all the required health and safety topics within their first year of employment. Using the health and safety training log will help ensure that training in all the required topics is completed. One staff member does not have a medical report of file. The director stated that she thought the staff member had turned in the report, but it could not be located. The staff member will need to get you a copy of the report or have another physical exam. CONSULTATION Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. ENVIRONMENT RATING ASSESSMENT Full rated license assessments will occur based on the program’s Cohort assignment; your program is in Cohort 1, therefore your assessment period would begin on or around July 1, 2024. You had prep year Environment Rating Scales Assessments conducted 4/16/24, 4/17/24 and 4/23/24 and today, we discussed the results of the assessment STAFF EDUCATION The center received 7 points on their current license. Staff education will be assessed closer to the time when we issue your rated license. PROGRAM STANDARDS The center received 6 points on their current license. The Operational policies for the facility have been previously approved. This program wishes to maintain enhanced standards in space and in staff/child ratios. The ITERS-R received scores of 3.67 and 3.78 The ECERS-R received scores of 4.86 and 5.11 Overall average of scores is not calculated because one or more of the scales scored below a 4.0. QUALITY POINT 1 point The facility has chosen the programmatic option of having approved enhanced policies, a staff benefit package and an infrastructure for parent involvement. ***It is important to note that a reduction in points earned in any of the Rated License Components may result in a reduction in the stars received on your star-rated license. CONSULTATION Technical assistance is provided for items noted in the Environment Rating Scales that could be a potential violation. ITERS Item 4, Indicators 3.2 There was concern with supervision regarding classroom arrangement, especially if there is only one person present in the classroom. We discussed strategies to reduce the risk of supervision concerns. Item 7, Indicator 3.3, 3.4 There were concerns with staff and child hand washing. You should review handwashing procedure and times when hand washing should occur We discussed Meal Pattern requirements. There are medical notes on file for some of the children and the others told the teacher that they do not like milk. Please remind staff that unless there is a food allergy, the children should be served all components of the meal. Item 8 Indicator 3.1, 3.2 Two infants cried and the teachers stated that they were tired, but it was 46 minutes to 1 hour before the infants were helped to go to sleep. Infant schedules should be individualized to address each child’s needs. Staff should respond at the earliest opportunity to each child’s needs. It was noted that 2 cribs are positioned in an L shape and crib rails were 7 inches apart. We discussed strategies to ensure that all cribs are at least 18 inches apart or separated by a solid barrier. Also, it was noted that an infant was placed in their crib on their stomach. This was not observed during today’s visit, but staff should be reminded that unless there is a waiver on file, all infants should be placed on their backs in their cribs. Item 9, Indicator 3.1, 3.2, 3.3 If a sink is used for diapering and general hand washing purposes, the sink must be cleaned and disinfected after diapering hand washing. We discussed strategies to ensure that multi-use sinks are properly cleaned and sanitized as required. There were steps in the diapering procedures that were missed; these include preparation before diapering, using wipes to clean hands before touching the clean diaper, cleaning and sanitizing the diapering areas and staff and child hand washing. Proper diapering procedures should be reviewed with all staff who are responsible for diapering. I confirmed today that there are diapering posters in all diapering areas; staff should refer to the posters for guidance. Item 10, Indicators 1.3 and 3.2 A staff reported that infants who are sick are placed in the vinyl nesting pool until their parent arrives to take them home. This area is accessible to other children. We discussed the center’s procedures and you stated that infants usually are brought to an administrator, however, with staffing there have been times when there was no administrator available. In those cases, it may be best to place the child in their crib to limit their contact with other children. Review times that staff and children’s handwashing should be completed. I confirmed that there are handwashing posters in all the handwashing areas; staff should refer to the posters for guidance. Item 11, Indicator 5.1 Care should be taken to avoid spraying sanitizer or disinfectant solution when children are close by since this may irritate their eyes or lungs. Teachers should lift the children under their arms to avoid potential injuries to the child’s joints. Item 12, Indicator 3.4 Staff should use redirection and positive interactions with the children, meaning they should refrain from frequently saying no. Instead, they should focus on communicating with the child what they want the child to do. Item 16, 3.2 A staff member stated that children have not been going outside because they have not received permission forms for sunscreen. While it is important that infants are protected from the sun, they still must have a minimum of 30 minutes of outdoor play, each day, weather permitting. Each outdoor play area should have some shading where infants can play. A canopy to cover the buggy during walks is another option for protecting the infants from the sun. Item 25, Indicator 3.1 Staff should work together to avoid times when both staff members have their backs turned to the group. They should also quickly respond to children when they need assistance. Supervision during meal times is especially important because young children are at a risk of choking when they are eating. ECERS-R Item 10, Indicator 3.1, 3.3 We discussed meal pattern requirements and it was determined that staff should offer all components of the meal, unless there is a doctor’s note on file. Review the times and situations when tables should be cleaned and sanitized for meal time. Review hand washing procedures with all staff to ensure that proper handwashing occurs. Item 11,Indicators 3.2 It was noted that two cots were placed 14 inches apart. Sanitation requires that cots be placed at least 18 inches apart or be separated by a solid, washable barrier that extends the length of the cot. Item 13, Indicator 5.3 We discussed the center’s procedures for changing children’s clothing when they become soiled. There are extra clothing available and you will remind staff to promptly change children when their clothing is soiled. Item 14, Indicator 3.1 Staff should ensure that children are not close by when sanitizer or disinfectant solutions are sprayed as this may irritate the children’s eyes or lungs. Item 34, Indicator 3.1 Children should have at least 1 hour of outdoor play, daily, weather permitting. AGENCY UPDATES Child Care facilities are required to test their drinking and cooking water for lead every three years. It may be time to test your program’s water. For information you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration into your web browser. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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