Childtime Childcare #2013

NC GS 110-90 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/13/2026 Number Present: 99 Completed Date: 2/13/2026 Age: From 0 To 5 Total Minutes: 365 Time In: 11:10 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. The last sanitation inspection was completed on 8-11-25 with an “Superior” classification. The last approved fire inspection was conducted on 6-25-25. The NC Secretary of State website was reviewed today and the corporation’s name, Childtime Childcare, Inc. was listed as “Current-Active.” Today’s visit was conducted with you, Vanessa Evans, center director. I monitored the ten (10) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were engaged outside on the playground and enjoyed the Valentine’s Day festivities. This week was spirit week and today was “Wear Your Valentine’s Pajamas to School.” The children showed off their pjs and indulged in treats as they had their Valentine’s Day parties. The children were also observed engaged in activity centers, on the carpet with the caregiver reading books, and completing toileting/diapering and handwashing routines. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications observed on the premises were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staff have not maintained current First Aid appropriate for the ages of children in care. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staff have not maintained current and appropriate CPR training for the ages of children in care. .1102(d) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). Soiled diapers were observed in a clear trash bag on top of the covered trash receptacle in space #4. Soiled diapers were observed in a clear trash bag on top of the covered trash receptacle in space #4. .0604(v) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 9-22-25 did not have documentation of completing the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) Due to time restraints, this visit summary was emailed. The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 2-27-26 stating how the violations have been corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: • CPR & First Aid Certification: Staff members having current CPR and First Aid certification is important because children are more vulnerable to choking, stop breathing, or suffer cardiac arrest due to accidents, allergic reactions, or medical conditions. CPR trained staff can respond immediately. As well time is critical, brain damage can begin within minutes of oxygen deprivation. Quickly administering CPR can mean the difference between life and death. It was suggested to log on a spreadsheet all of the dates for your staff’s CPR/First Aid certification due dates so you can monitor them closely and schedule CPR training at least one month prior to the expiration date. Set an alarm and mark your calendar for a reminder to monitor the spreadsheet. • Child Maltreatment Training: Completing the required Recognizing and Responding to Suspicions of Child Maltreatment training is important because it equips childcare providers with the knowledge to identify potential signs of abuse or neglect, understand their legal responsibility to report suspected cases, and ultimately creates a safe and nurturing environment for children in their care by proactively preventing maltreatment. It is suggested to have caregivers take this training during the first two (2) weeks of employment to comply with the orientation requirements regarding maltreatment. Recognizing and Responding to Suspicions of Child Maltreatment training can be accessed on the Positive Childhood Alliance NC website, https://preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/, it is free of charge and counts toward Health and Safety Training requirements to be completed every five (5) years. • Storage of Biocontaminants & Soiled Diapers: Soiled diaper are considered a significant biohazard and biowaste. Properly sealing diapers in a lined, sealed trash receptacle (or diaper pail) is crucial for controlling the spread of disease-causing pathogens, limiting severe odors, and protecting environmental health. Because human waste contains over 100 types of bacteria and viruses—including E. coli, salmonella, and norovirus—proper containment is essential to prevent these organisms from contaminating spaces is essential to mitigate these health risks. It was recommended that staff be reminded to ensure children do not have access to soiled diapers and to keep the trash receptacle liner in place until they are ready to dispose of the soiled diapers in the outdoor dumpster. • Please submit staff and training worksheets asap. • Finish linking all staff in the ABCMS Portal asap. • Update your Emergency Medical Care Plan to include more staff to ensure that someone listed on the plan is present during the operational day to complete the tasks listed on the plan. • It was recommended to post the updated November 2025 version of the Summary of the NC Law & Rules for Child Care Centers that was emailed to you today. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you need to review the new QRIS requirements, which includes three pathways to choose for the rated license process. As well it was explained that your staff’s education must be updated in the WORKS system asap. You indicated that you were interested in applying for Pathway #2, "Classroom and Instructional Quality.” Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated- License/QRIS-Modernization to learn more. It was strongly recommended to complete an outreach assessment through the North Carolina Rated License Assessment Project (NCRLAP) to see any areas of improvement since staff have not completed the new ITERS-3 and ECERS-3. An outreach assessment from NCRLAP is a free, supportive evaluation of a childcare program's quality that provides a realistic preview of the official assessment process without impacting the program's Star Rating. It helps you understand your strengths and areas for improvement by familiarizing you with the Environment Rating Scale (ERS) assessments and their requirements. Think of it as a friendly, no-pressure practice run that helps you pinpoint your program’s strengths and areas for improvement. Visit the outreach page at https://ncrlap.org/Resources/pages/OutreachAssessments/ and call NCRLAP toll free at (866)-362-7527 to schedule your free outreach assessment. • NCRLAP is excited to introduce 3s in 3, a new series designed to share practical information about the Environment Rating Scales in short, easy-to-digest segments. View the episodes here, https://vimeo.com/968104919/fda9299e2f?share=copy4919?share=copy. • It is strongly recommended that staff complete the NC Foundations for Early Learning and Development training. The purpose of the North Carolina Foundations for Early Learning and Development is to establish a framework that supports the healthy development and school readiness of children from birth to age 5. This framework is designed to guide early childhood caregivers in creating an environment that fosters learning and development. This 5-hour course provides a clear set of expectations and goals that caregivers can use to plan and implement their teaching practices for supporting children in their learning and development. You can look for upcoming trainings on the NC Foundations for Early Learning and Development training and visit YouTube where there are short videos on Foundations for Early Learning and Development training. • Free Adult Mental Health First Aid Training is being offered by UNC School of Social Work and the NCDHHS Division of Child Development and Early Education. Be prepared to support those around you by getting certified in Mental Health First Aid. Mental Health First Aid teaches the skills needed to recognize and respond to signs and symptoms of mental health and substance use challenges, as well as how to provide someone with initial support until they are connected with appropriate professional help. In the free course, you learn risk factors and warning signs for mental health and addiction concerns, strategies to help someone in both crisis and non-crisis situations, and where to turn for help. Register here, https://ncmhfa.unc.edu/adult-mhfa-for-child-development-and-early-educators/. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Another training opportunity is through Early Learning Instruction for Teachers (eLift). Choose from over 100 courses available on-demand, live/virtual, and in-person with flexible payment options, including individual memberships, group memberships, and single courses from $5! Early Learning Academies, Training for High School CTE programs, Pre-Apprenticeships, and Apprenticeship NC are also available. For more information, visit the Southwestern Child Development Commission Website or email darby.karen@swcdcinc.org or elift@swcdcinc.org. • For a limited time child care providers can receive FREE access to CDA coursework and additional high-quality professional development from the early childhood experts at Teaching Strategies sponsored by the Division of Child Development and Early Education Preschool Development Grant. This coursework is live and on-demand with over 400 hours of continuing education units (CEU) courses https://teachingstrategies.com/north-carolina-pdtm/. • FYI the Playground Safety Training is now titled “Outdoor Play & Learning.” You may receive training credit for both trainings. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Sign up to receive updates via email of the weekly publication of the Raise NC Newsletter, on the Division’s website, https://ncchildcare.ncdhhs.gov/ at the bottom of the home page. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1125-052L Visit Date: 11/12/2025 Number Present: 98 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Vanessa Evans, Center Director. This facility operates with a Five (5) Star License issued on 7-13-18. Upon arrival to the facility, I discussed the allegations regarding nurture and care and supervision with you. In regards to nurture and care, it was alleged that on 11-5-25, a non-verbal two year old child had a toileting accident and twenty-two minutes passed before the child’s clothing was changed. You stated that you spoke to the child’s parents regarding this incident and at the conclusion of the conversation it was requested for the child to move to the classroom for younger two year old's where more time could be spent on potty training. The caregivers in this child’s classroom back on 11-5-25 were also interviewed. The caregivers explained that initially they thought the child had urinated on themselves, but after looking the child was not wet in between their legs, nor were the front or rear of their pants wet. The caregivers recalled that on 11-5-25 since this child is potty training, they took the child to the bathroom where the child sat on the toilet and afterwards the child washed their hands at the child-sized sink. The child proceeded to the carpet where they were engaged in circle time with the caregivers. While in circle time the caregivers stated they observed that the child was wet. Lunch was delivered to the classroom, and the child ate lunch, went to try to use the bathroom again, and then laid down on their cot. It was stated that the child was only on the cot for a few seconds because the child got up to have their clothes changed. The caregivers mentioned that they logged in the Sprouts App for parent communication “soiled/wet” when they changed the child’s clothing because that is the only option to select when alerting parents that there are clothes to be picked up and laundered. The caregivers showed me in the Sprouts App where they clarified about the child’s sleeves and front of their pants getting wet and it was not a toileting incident. It appears that a child was in wet clothing from approximately 11:23am to 11:45am before they were changed. Based on my conversation with staff, the allegation concerning nurture and care is substantiated. See violation below In regards to the allegation concerning supervision, it was alleged that children are not adequately supervised. You stated that you have no concerns regarding staff providing adequate supervision. There are cameras recording in each classroom and you watch the live feed from each class when you are at your desk. To retrieve previous recordings, a request must be made to the corporate office. Time was spent observing supervision and adequate supervision was observed during today’s visit. The children were observed outside on the playground running about, riding trikes, playing with balls and interacting on play structures. Staff moved about and engaged with the children on the playground. As well in the classrooms, the staff moved about as the children were observed at the tables with manipulatives, on the carpet reading books, completing toileting routines, putting on coats and lining up to go outside. Based on my observations and conversation with staff, the allegation concerning supervision is unsubstantiated. The following violation of child care requirements was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. 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. At approximately 11:23a.m. on 11-5-25, a two year old child got their clothes wet while washing their hands. Their clothing was not changed immediately; the child's clothing was changed at approximately 11:45a.m. G.S. 110-91(10) The above violation must be corrected immediately and a letter must be sent to me no later than 11-26-25 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance was provided with the following suggestions that may be beneficial: Nurture/Care: It is important to change wet clothing immediately because wet clothing can carry bacteria and viruses, which can be transmitted to other children and staff members. Properly changing wet clothing helps to minimize the risk of spreading these germs. Wet clothing can also harbor bacteria and odors, which can affect the hygiene of the child and the environment. Changing wet clothing helps to keep the child and the environment clean and fresh. It was suggested that when incidents occur (diapering/toileting, injuries, etc.) immediately react with one staff member engaging the group of children, while the other staff member handles the needs of the child. If you need additional assistance, notify the center director/management to step in where needed. • Today you mentioned your conversation with a parent regarding potty training and that the same routines occurring at the facility need to occur at home for potty training to be successful. It was suggested to provide literature on potty training to your parent to educate them. This may be helpful article (www.mightymoms.club/potty/learning-for-2-year-old) that is a gentle guide to potty learning at age 2, with signs of readiness, routines, and support strategies for a calm, confident transition. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you can review the new QRIS requirements, which includes three pathways to choose for the rated license process. Even though you are a five star center that was assessed under the previous star rated license system in June 2025, you do not have to be assessed under the QRIS system until 2028. At some point, please take time to review the QRIS process. We discussed that you can get NAEYC or COGNIA accreditation and meet the education standards at 5 Stars for your 3-year renewal and not have to have the ECERS 3 completed. Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1125-052L Visit Date: 11/12/2025 Number Present: 98 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Vanessa Evans, Center Director. This facility operates with a Five (5) Star License issued on 7-13-18. Upon arrival to the facility, I discussed the allegations regarding nurture and care and supervision with you. In regards to nurture and care, it was alleged that on 11-5-25, a non-verbal two year old child had a toileting accident and twenty-two minutes passed before the child’s clothing was changed. You stated that you spoke to the child’s parents regarding this incident and at the conclusion of the conversation it was requested for the child to move to the classroom for younger two year old's where more time could be spent on potty training. The caregivers in this child’s classroom back on 11-5-25 were also interviewed. The caregivers explained that initially they thought the child had urinated on themselves, but after looking the child was not wet in between their legs, nor were the front or rear of their pants wet. The caregivers recalled that on 11-5-25 since this child is potty training, they took the child to the bathroom where the child sat on the toilet and afterwards the child washed their hands at the child-sized sink. The child proceeded to the carpet where they were engaged in circle time with the caregivers. While in circle time the caregivers stated they observed that the child was wet. Lunch was delivered to the classroom, and the child ate lunch, went to try to use the bathroom again, and then laid down on their cot. It was stated that the child was only on the cot for a few seconds because the child got up to have their clothes changed. The caregivers mentioned that they logged in the Sprouts App for parent communication “soiled/wet” when they changed the child’s clothing because that is the only option to select when alerting parents that there are clothes to be picked up and laundered. The caregivers showed me in the Sprouts App where they clarified about the child’s sleeves and front of their pants getting wet and it was not a toileting incident. It appears that a child was in wet clothing from approximately 11:23am to 11:45am before they were changed. Based on my conversation with staff, the allegation concerning nurture and care is substantiated. See violation below In regards to the allegation concerning supervision, it was alleged that children are not adequately supervised. You stated that you have no concerns regarding staff providing adequate supervision. There are cameras recording in each classroom and you watch the live feed from each class when you are at your desk. To retrieve previous recordings, a request must be made to the corporate office. Time was spent observing supervision and adequate supervision was observed during today’s visit. The children were observed outside on the playground running about, riding trikes, playing with balls and interacting on play structures. Staff moved about and engaged with the children on the playground. As well in the classrooms, the staff moved about as the children were observed at the tables with manipulatives, on the carpet reading books, completing toileting routines, putting on coats and lining up to go outside. Based on my observations and conversation with staff, the allegation concerning supervision is unsubstantiated. The following violation of child care requirements was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. 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. At approximately 11:23a.m. on 11-5-25, a two year old child got their clothes wet while washing their hands. Their clothing was not changed immediately; the child's clothing was changed at approximately 11:45a.m. G.S. 110-91(10) The above violation must be corrected immediately and a letter must be sent to me no later than 11-26-25 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance was provided with the following suggestions that may be beneficial: Nurture/Care: It is important to change wet clothing immediately because wet clothing can carry bacteria and viruses, which can be transmitted to other children and staff members. Properly changing wet clothing helps to minimize the risk of spreading these germs. Wet clothing can also harbor bacteria and odors, which can affect the hygiene of the child and the environment. Changing wet clothing helps to keep the child and the environment clean and fresh. It was suggested that when incidents occur (diapering/toileting, injuries, etc.) immediately react with one staff member engaging the group of children, while the other staff member handles the needs of the child. If you need additional assistance, notify the center director/management to step in where needed. • Today you mentioned your conversation with a parent regarding potty training and that the same routines occurring at the facility need to occur at home for potty training to be successful. It was suggested to provide literature on potty training to your parent to educate them. This may be helpful article (www.mightymoms.club/potty/learning-for-2-year-old) that is a gentle guide to potty learning at age 2, with signs of readiness, routines, and support strategies for a calm, confident transition. • Quality Rating and Improvement System (QRIS), is North Carolina’s new star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality in child care. It encourages programs to engage in continuous quality improvement and families may use the star rating to make informed decisions when choosing a child care facility. Today it was explained that you can review the new QRIS requirements, which includes three pathways to choose for the rated license process. Even though you are a five star center that was assessed under the previous star rated license system in June 2025, you do not have to be assessed under the QRIS system until 2028. At some point, please take time to review the QRIS process. We discussed that you can get NAEYC or COGNIA accreditation and meet the education standards at 5 Stars for your 3-year renewal and not have to have the ECERS 3 completed. Visit the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 87 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 01:50 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. Today’s visit was conducted with you, Susan “Sue” Cooke, new assistant director. Upon arrival to the facility, I was greeted by you. You accompanied me as we did a walk-through of the ten (10) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. The children were observed interacting in activity centers, reviewing words that start with the letter “B”, drawing shapes, playing instruments on the carpet, and free art coloring at the table. A partial assessment of child care requirements was monitored during today’s visit. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. Permission to administer two bottles of Benadryl expired on 1-10-25 and 3-16-25. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An Auvi-Q injector expired on 11-8-24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation for an inspection in May 2025 was not available. .0605(q) The above violations must be corrected immediately and a letter must be sent to me no later than 7-8-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization & Leftover Medications: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Monthly Playground Inspections: Monthly playground inspections are critical because they help to identify and mitigate hazards before they result in accidents or injuries; they maintain the integrity of the equipment; they ensure compliance with safety standards; and they provide a secure environment for children to play. It was suggested to mark your calendar and/or set a reminder on your phone/computer monthly to conduct and document your monthly playground inspections. To save time and ensure both are completed in a timely manner, it is recommended to conduct your fire drill and monthly playground inspection on the same day. • You have completed the Moodle training now ASAP please finish connecting/linking all the staff members asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Instructions were emailed to you today on how to connect/link staff in the ABCMS portal. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • While the QRIS Modernization rules are not yet in effect, the Division must prepare now for the gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. To assist us in that process we would love to hear from you! We’re asking providers, directors and administrators to please complete a brief survey (https://northchealth.az1.qualtrics.com/jfe/form/SV_3rxLoX0PcJUR5Qy) so we’ll know how we can best prepare to serve you during this transition • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/24/2025 Number Present: 87 Completed Date: 6/24/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 01:50 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. Today’s visit was conducted with you, Susan “Sue” Cooke, new assistant director. Upon arrival to the facility, I was greeted by you. You accompanied me as we did a walk-through of the ten (10) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. Medications and permission to administer medications were observed and monitored. The children were observed interacting in activity centers, reviewing words that start with the letter “B”, drawing shapes, playing instruments on the carpet, and free art coloring at the table. A partial assessment of child care requirements was monitored during today’s visit. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. Permission to administer two bottles of Benadryl expired on 1-10-25 and 3-16-25. 10A NCAC 09 .0803(1)(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An Auvi-Q injector expired on 11-8-24. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation for an inspection in May 2025 was not available. .0605(q) The above violations must be corrected immediately and a letter must be sent to me no later than 7-8-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, NC 27699-2200 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Medication Authorization & Leftover Medications: Any medication on the premises must be labeled with the child’s name, be accompanied by a current permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip, and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. Monthly Playground Inspections: Monthly playground inspections are critical because they help to identify and mitigate hazards before they result in accidents or injuries; they maintain the integrity of the equipment; they ensure compliance with safety standards; and they provide a secure environment for children to play. It was suggested to mark your calendar and/or set a reminder on your phone/computer monthly to conduct and document your monthly playground inspections. To save time and ensure both are completed in a timely manner, it is recommended to conduct your fire drill and monthly playground inspection on the same day. • You have completed the Moodle training now ASAP please finish connecting/linking all the staff members asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Instructions were emailed to you today on how to connect/link staff in the ABCMS portal. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • While the QRIS Modernization rules are not yet in effect, the Division must prepare now for the gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. To assist us in that process we would love to hear from you! We’re asking providers, directors and administrators to please complete a brief survey (https://northchealth.az1.qualtrics.com/jfe/form/SV_3rxLoX0PcJUR5Qy) so we’ll know how we can best prepare to serve you during this transition • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 97 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 09:20 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. The NC Secretary of State website was reviewed on 2-18-25 and the status of the corporation’s name, Childtime Childcare, Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 8-22-24 with a “Superior” classification. The last fire inspection was conducted on 6-21-24. The last annual compliance visit was conducted on 2-20-24. Today’s visit was conducted with you, Vanessa Evans, new center director. You accompanied me as we visited each indoor and outdoor space. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The facility was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children were observed engaged in activity centers, completing handwashing routines, cleaning up to prepare to go outside, coloring with crayons at the table, counting and matching numbers at the table with a caregiver and in circle time where the caregiver read a book to the children. The children were bundled up in their winter gear as they were observed running about, riding trikes, and interacting on the stationary play structure. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you and your new staff records, along with a sampling of your children’s records were reviewed today. This facility does not provide transportation. Medications and permission to administer medications were observed on the premises and monitored today. During today’s visit, an assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1 and #2 the required age appropriate fine motor toys, pretend play toys, books, and music toys, were not available, offered in sufficient quantity and to allow for a range of choices. .0510 (e ) (1)(A-G) 871 Center staff did not comply with the safe sleep policy. Documentation was not available of visual checks at least every 15 minutes of the sleeping infants in space #2. 10A NCAC 09 .0606(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. The medical report on file for one (1) child care provider hired on November 25, 2024 was dated August 2023. 10A NCAC 09 .0701(a) The above violations must be corrected immediately and a letter must be sent to me no later than 3-4-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Information: A staff medical report with a physical examination from a health care professional is important for staff working with children because it helps identify potential underlying health issues and ensures that staff are physically and mentally capable of working with children. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. The most current health forms can be accessed on the DCDEE website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. It was suggested to not let any new hire come into the facility to begin work without their completed staff medical report completed within the past 12 months and their negative TB test results or TB screening completed within the past 12 months. Developmentally Appropriate Materials: Developmentally appropriate materials are crucial in a child care setting because they allow children to engage in play and learning activities that are tailored to their specific age and developmental stage, promoting optimal learning by preventing frustration from overly complex toys or boredom from overly simple ones, all while also supporting their physical, cognitive, social, and emotional growth through age-appropriate interactions with materials. Take inventory of your materials/toys in each classroom at least weekly to ensure you have the required materials in the correct quantity for each age group. Provide your staff or the designated person with a checklist of the required age appropriate materials for each age group and if materials are lacking, an order for the needed materials can be placed immediately. Infant Sleep Checks: Documented sleep visual checks every 15 minutes are crucial to minimize the risk of Sudden Infant Death Syndrome (SIDS) by ensuring infants are breathing normally and positioned safely while sleeping. The documentation provides a record that proper monitoring is occurring, which is required by child care regulations and is considered best practice for infant care. A sleep check form was provided for you today that may be easier for the caregiver to complete and maintain. It was suggested that management monitor the infant room daily to ensure that sleep checks are being documented and maintained for thirty (30) days as required. As well, monitor the count of these blank forms and when you see them running low, make additional copies. • Please fill out and send to me the Pre-Service Requirements for Administrators form. • It was suggested to get more sturdy lids for your trash cans outside. • Your most recent new hire must complete Recognizing and Responding to Suspicions of Child Maltreatment Training and CPR and First Aid prior to 2-25-25. • Clean out your Ready to Go File removing all old EPR Plans and old paperwork to ensure you can retrieve the most current information, in the time of an emergency. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE􀂶s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 97 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 09:20 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. The NC Secretary of State website was reviewed on 2-18-25 and the status of the corporation’s name, Childtime Childcare, Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 8-22-24 with a “Superior” classification. The last fire inspection was conducted on 6-21-24. The last annual compliance visit was conducted on 2-20-24. Today’s visit was conducted with you, Vanessa Evans, new center director. You accompanied me as we visited each indoor and outdoor space. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The facility was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children were observed engaged in activity centers, completing handwashing routines, cleaning up to prepare to go outside, coloring with crayons at the table, counting and matching numbers at the table with a caregiver and in circle time where the caregiver read a book to the children. The children were bundled up in their winter gear as they were observed running about, riding trikes, and interacting on the stationary play structure. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you and your new staff records, along with a sampling of your children’s records were reviewed today. This facility does not provide transportation. Medications and permission to administer medications were observed on the premises and monitored today. During today’s visit, an assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1 and #2 the required age appropriate fine motor toys, pretend play toys, books, and music toys, were not available, offered in sufficient quantity and to allow for a range of choices. .0510 (e ) (1)(A-G) 871 Center staff did not comply with the safe sleep policy. Documentation was not available of visual checks at least every 15 minutes of the sleeping infants in space #2. 10A NCAC 09 .0606(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. The medical report on file for one (1) child care provider hired on November 25, 2024 was dated August 2023. 10A NCAC 09 .0701(a) The above violations must be corrected immediately and a letter must be sent to me no later than 3-4-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Information: A staff medical report with a physical examination from a health care professional is important for staff working with children because it helps identify potential underlying health issues and ensures that staff are physically and mentally capable of working with children. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. The most current health forms can be accessed on the DCDEE website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. It was suggested to not let any new hire come into the facility to begin work without their completed staff medical report completed within the past 12 months and their negative TB test results or TB screening completed within the past 12 months. Developmentally Appropriate Materials: Developmentally appropriate materials are crucial in a child care setting because they allow children to engage in play and learning activities that are tailored to their specific age and developmental stage, promoting optimal learning by preventing frustration from overly complex toys or boredom from overly simple ones, all while also supporting their physical, cognitive, social, and emotional growth through age-appropriate interactions with materials. Take inventory of your materials/toys in each classroom at least weekly to ensure you have the required materials in the correct quantity for each age group. Provide your staff or the designated person with a checklist of the required age appropriate materials for each age group and if materials are lacking, an order for the needed materials can be placed immediately. Infant Sleep Checks: Documented sleep visual checks every 15 minutes are crucial to minimize the risk of Sudden Infant Death Syndrome (SIDS) by ensuring infants are breathing normally and positioned safely while sleeping. The documentation provides a record that proper monitoring is occurring, which is required by child care regulations and is considered best practice for infant care. A sleep check form was provided for you today that may be easier for the caregiver to complete and maintain. It was suggested that management monitor the infant room daily to ensure that sleep checks are being documented and maintained for thirty (30) days as required. As well, monitor the count of these blank forms and when you see them running low, make additional copies. • Please fill out and send to me the Pre-Service Requirements for Administrators form. • It was suggested to get more sturdy lids for your trash cans outside. • Your most recent new hire must complete Recognizing and Responding to Suspicions of Child Maltreatment Training and CPR and First Aid prior to 2-25-25. • Clean out your Ready to Go File removing all old EPR Plans and old paperwork to ensure you can retrieve the most current information, in the time of an emergency. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE􀂶s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 97 Completed Date: 2/18/2025 Age: From 0 To 5 Total Minutes: 345 Time In: 09:20 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 7-13-18. The NC Secretary of State website was reviewed on 2-18-25 and the status of the corporation’s name, Childtime Childcare, Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 8-22-24 with a “Superior” classification. The last fire inspection was conducted on 6-21-24. The last annual compliance visit was conducted on 2-20-24. Today’s visit was conducted with you, Vanessa Evans, new center director. You accompanied me as we visited each indoor and outdoor space. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The facility was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children were observed engaged in activity centers, completing handwashing routines, cleaning up to prepare to go outside, coloring with crayons at the table, counting and matching numbers at the table with a caregiver and in circle time where the caregiver read a book to the children. The children were bundled up in their winter gear as they were observed running about, riding trikes, and interacting on the stationary play structure. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you and your new staff records, along with a sampling of your children’s records were reviewed today. This facility does not provide transportation. Medications and permission to administer medications were observed on the premises and monitored today. During today’s visit, an assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1 and #2 the required age appropriate fine motor toys, pretend play toys, books, and music toys, were not available, offered in sufficient quantity and to allow for a range of choices. .0510 (e ) (1)(A-G) 871 Center staff did not comply with the safe sleep policy. Documentation was not available of visual checks at least every 15 minutes of the sleeping infants in space #2. 10A NCAC 09 .0606(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. The medical report on file for one (1) child care provider hired on November 25, 2024 was dated August 2023. 10A NCAC 09 .0701(a) The above violations must be corrected immediately and a letter must be sent to me no later than 3-4-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Staff Medical Information: A staff medical report with a physical examination from a health care professional is important for staff working with children because it helps identify potential underlying health issues and ensures that staff are physically and mentally capable of working with children. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. The most current health forms can be accessed on the DCDEE website: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms. It was suggested to not let any new hire come into the facility to begin work without their completed staff medical report completed within the past 12 months and their negative TB test results or TB screening completed within the past 12 months. Developmentally Appropriate Materials: Developmentally appropriate materials are crucial in a child care setting because they allow children to engage in play and learning activities that are tailored to their specific age and developmental stage, promoting optimal learning by preventing frustration from overly complex toys or boredom from overly simple ones, all while also supporting their physical, cognitive, social, and emotional growth through age-appropriate interactions with materials. Take inventory of your materials/toys in each classroom at least weekly to ensure you have the required materials in the correct quantity for each age group. Provide your staff or the designated person with a checklist of the required age appropriate materials for each age group and if materials are lacking, an order for the needed materials can be placed immediately. Infant Sleep Checks: Documented sleep visual checks every 15 minutes are crucial to minimize the risk of Sudden Infant Death Syndrome (SIDS) by ensuring infants are breathing normally and positioned safely while sleeping. The documentation provides a record that proper monitoring is occurring, which is required by child care regulations and is considered best practice for infant care. A sleep check form was provided for you today that may be easier for the caregiver to complete and maintain. It was suggested that management monitor the infant room daily to ensure that sleep checks are being documented and maintained for thirty (30) days as required. As well, monitor the count of these blank forms and when you see them running low, make additional copies. • Please fill out and send to me the Pre-Service Requirements for Administrators form. • It was suggested to get more sturdy lids for your trash cans outside. • Your most recent new hire must complete Recognizing and Responding to Suspicions of Child Maltreatment Training and CPR and First Aid prior to 2-25-25. • Clean out your Ready to Go File removing all old EPR Plans and old paperwork to ensure you can retrieve the most current information, in the time of an emergency. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE􀂶s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 99 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 02:00 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a 3 Star License that was issued on 7-13-18. Today’s visit was conducted with you, Vanessa Evans, assistant director. Upon arrival to the facility, I was greeted by you. I did a walk-through with you of the eight (8) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications, accompanied by the permission to administer medications were observed. During the visit, the caregivers were interacting with the children as they were observed outside on the playground running about and inside in the classrooms engaged in activity centers. The children were also observed completing toileting and handwashing routines. A partial assessment of child care requirements was monitored. The following violation was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of the required orientation for a staff member hired on 4-22-2024 was not available. .1101(a) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 6-19-24 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: • We discussed record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Set a reminder to review staff files often to ensure the program is maintaining accurate licensing records. Roles and responsibilities of the person administering orientation are clearly defined and a system for accountability and evaluation is in place to ensure comprehensive and consistent orientations for new child care staff members. The orientation checklist can be found on the Division of Child Development and Early Education’s website under the Provider tab and provider documents links. Orientation is required to be completed to ensure all information is conveyed during orientation. Orientation is important, made to make the new employee feel welcome and at home in this new setting. They should be given a thorough tour of the center and ample time allotted for questions and observation. Within the orientation timeframe, the new staff member should not be "thrown into a classroom" on one of their first days. They should be given time to familiarize themselves with the children, basic procedures and routines, their job description and general basic child development. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, in addition look for hazards/snakes. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Register asap for the Clean Classrooms for Carolina Kids program required pre-enrollment webinar https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/. The Clean Classrooms for Carolina Kids program helps fulfill North Carolina requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816) for public schools and child care facilities related to lead in water, lead-based paint, and asbestos. The goal is to identify and eliminate exposure to lead and asbestos hazards where North Carolina children learn and play. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDTIME CHILDCARE #2013 Facility ID: 92001202 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 6/5/2024 Number Present: 99 Completed Date: 6/5/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 02:00 PM Time Out: 05:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a 3 Star License that was issued on 7-13-18. Today’s visit was conducted with you, Vanessa Evans, assistant director. Upon arrival to the facility, I was greeted by you. I did a walk-through with you of the eight (8) classrooms in use, occupied by children. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and staff record documentation was monitored as a partial assessment of applicable child care requirements. A sampling of medications, accompanied by the permission to administer medications were observed. During the visit, the caregivers were interacting with the children as they were observed outside on the playground running about and inside in the classrooms engaged in activity centers. The children were also observed completing toileting and handwashing routines. A partial assessment of child care requirements was monitored. The following violation was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of the required orientation for a staff member hired on 4-22-2024 was not available. .1101(a) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 6-19-24 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestion that may be beneficial: • We discussed record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Set a reminder to review staff files often to ensure the program is maintaining accurate licensing records. Roles and responsibilities of the person administering orientation are clearly defined and a system for accountability and evaluation is in place to ensure comprehensive and consistent orientations for new child care staff members. The orientation checklist can be found on the Division of Child Development and Early Education’s website under the Provider tab and provider documents links. Orientation is required to be completed to ensure all information is conveyed during orientation. Orientation is important, made to make the new employee feel welcome and at home in this new setting. They should be given a thorough tour of the center and ample time allotted for questions and observation. Within the orientation timeframe, the new staff member should not be "thrown into a classroom" on one of their first days. They should be given time to familiarize themselves with the children, basic procedures and routines, their job description and general basic child development. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, in addition look for hazards/snakes. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Register asap for the Clean Classrooms for Carolina Kids program required pre-enrollment webinar https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/. The Clean Classrooms for Carolina Kids program helps fulfill North Carolina requirements (NC 10A NCAC 41C.1001-1007, NC 154A NCAC 18A.2816) for public schools and child care facilities related to lead in water, lead-based paint, and asbestos. The goal is to identify and eliminate exposure to lead and asbestos hazards where North Carolina children learn and play. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times