Childworks Preschool

G.S. 110-91 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 37 Completed Date: 10/16/2025 Age: From 0 To 4 Total Minutes: 280 Time In: 10:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Three (3) Star License that was issued on 4-8-22. The last sanitation inspection was completed on 7-17-25 with an “Approved” classification. The last approved fire inspection was conducted on 9-29-25. The NC Secretary of State website was reviewed today and the corporation’s name, Living Well Family Care, INC was listed as “Current-Active.” Today’s visit was conducted with you, Azia , center director. I monitored the five (5) 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. The children were observed in circle time where the caregivers were singing songs, at the table with manipulatives, and outside on the playground running about and riding trikes. The preschoolers completed an art activity where they spelled their names with the ribs of a pumpkin that contained letters. The caregiver assisted the children with the spelling of their name as the children found the letters and glued them to shape a pumpkin on construction paper. The children were observed coming inside from the playground and completing 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. The facility’s van used to transport schoolagers to and from school was observed and monitored for transportation requirements. 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 1043 All staff records, except financial records, were not made available for review. Staff files did not contain all required paperwork. One staff member did not have a medical report on file. Two staff members did not have TB Test results on file. One staff member employed more than 90 days did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. G.S. 110-91( 9) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the 2008 Honda Odyssey van used for transporting schoolagers, expired August 2025. .1002(b) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-30-25 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, North Carolina 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: Staff Files: As we discussed today, maintaining the required paperwork is within your control. Maintaining the required paperwork ensures compliance with regulations and standards. This paperwork includes forms related to application, medical reporting, training, and personnel and operational policies. Compliance with these regulations is essential for the safety and wellbeing of children, as well as for the professional growth of caregivers. Additionally, the paperwork helps in documenting the facility's compliance history, which is checked annually to ensure that the facility meets the minimum standards for care. It was explained to not allow anyone to begin working until their medical report and TB test results were provided. A staff file checklist was provided for you to go back through staff files to ensure all required paperwork is on file. It was also suggested to organize your staff and children’s files because it took some time to review files today. Transportation: Maintaining valid vehicle registration is crucial because it is a legal requirement for all vehicles transporting children, ensuring the safety of the children, protecting the center from liability, and complying with state and federal laws. It verifies that the vehicle is properly owned and insured, which is essential for safety during transportation to and from school. It was recommended to set a reminder in your phone and on your calendar to renew vehicle registration one month to 3 weeks prior to the expiration date to ensure the registration does not expire. • Please submit completed staff and training worksheets asap. • One staff member’s CPR and First Aid will expire on 11-1-2025. • Your lead in water results were completed on 2-6-2024 and your asbestos and lead in paint from Clean Classrooms for Carolina Kids were completed on 1-24-25. As well you have linked your staff to the ABCMS portal. • We discussed obtaining trash can lids that possibly can not be removed. • When reviewing your staff and children’s records there were a lot of papers in each file that took a tremendous amount of time to review today. Please organize your files where the paperwork that is required by child care rules is grouped together. Checklists were provided for you today. • To make sure your toys are operable and functioning as manufactured. Keep a supply of batteries to replace them in your toys. • You mentioned wanting to make improvements to your playground. Contact Natural Learning Initiative (NLI), https://naturalearning.org/design-assistance/ about providing design assistance, design review, and professional development resources. NLI works with community partners, including landscape architects, to create model, research-based, ecologically viable outdoor settings. NLI believes that effective design must be a community-based process that engages all relevant stakeholders in developing a project mission, vision, and design objectives to support consensus-based design solutions. • The Division of Child Development and Early Education’s QRIS modernization requirements went into effect July 1, 2025. These requirements replace the old point-based system with three flexible "Pathways to the Stars" for earning star ratings in program assessment, classroom and instructional quality, and accreditation/Head Start. This new framework offers clear requirements for each star level within a pathway, expands education options for early childhood professionals, and focuses on continuous quality improvement and family/community engagement. Today it was explained that you can review the QRIS requirements for the new rated license process on the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • 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. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 37 Completed Date: 10/16/2025 Age: From 0 To 4 Total Minutes: 280 Time In: 10:50 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Three (3) Star License that was issued on 4-8-22. The last sanitation inspection was completed on 7-17-25 with an “Approved” classification. The last approved fire inspection was conducted on 9-29-25. The NC Secretary of State website was reviewed today and the corporation’s name, Living Well Family Care, INC was listed as “Current-Active.” Today’s visit was conducted with you, Azia , center director. I monitored the five (5) 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. The children were observed in circle time where the caregivers were singing songs, at the table with manipulatives, and outside on the playground running about and riding trikes. The preschoolers completed an art activity where they spelled their names with the ribs of a pumpkin that contained letters. The caregiver assisted the children with the spelling of their name as the children found the letters and glued them to shape a pumpkin on construction paper. The children were observed coming inside from the playground and completing 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. The facility’s van used to transport schoolagers to and from school was observed and monitored for transportation requirements. 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 1043 All staff records, except financial records, were not made available for review. Staff files did not contain all required paperwork. One staff member did not have a medical report on file. Two staff members did not have TB Test results on file. One staff member employed more than 90 days did not complete Recognizing and Responding to Suspicions of Child Maltreatment Training. G.S. 110-91( 9) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for the 2008 Honda Odyssey van used for transporting schoolagers, expired August 2025. .1002(b) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-30-25 stating how the violation was corrected and a plan to maintain compliance with the requirements. My mailing address is: 2201 Mail Service Center, Raleigh, North Carolina 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: Staff Files: As we discussed today, maintaining the required paperwork is within your control. Maintaining the required paperwork ensures compliance with regulations and standards. This paperwork includes forms related to application, medical reporting, training, and personnel and operational policies. Compliance with these regulations is essential for the safety and wellbeing of children, as well as for the professional growth of caregivers. Additionally, the paperwork helps in documenting the facility's compliance history, which is checked annually to ensure that the facility meets the minimum standards for care. It was explained to not allow anyone to begin working until their medical report and TB test results were provided. A staff file checklist was provided for you to go back through staff files to ensure all required paperwork is on file. It was also suggested to organize your staff and children’s files because it took some time to review files today. Transportation: Maintaining valid vehicle registration is crucial because it is a legal requirement for all vehicles transporting children, ensuring the safety of the children, protecting the center from liability, and complying with state and federal laws. It verifies that the vehicle is properly owned and insured, which is essential for safety during transportation to and from school. It was recommended to set a reminder in your phone and on your calendar to renew vehicle registration one month to 3 weeks prior to the expiration date to ensure the registration does not expire. • Please submit completed staff and training worksheets asap. • One staff member’s CPR and First Aid will expire on 11-1-2025. • Your lead in water results were completed on 2-6-2024 and your asbestos and lead in paint from Clean Classrooms for Carolina Kids were completed on 1-24-25. As well you have linked your staff to the ABCMS portal. • We discussed obtaining trash can lids that possibly can not be removed. • When reviewing your staff and children’s records there were a lot of papers in each file that took a tremendous amount of time to review today. Please organize your files where the paperwork that is required by child care rules is grouped together. Checklists were provided for you today. • To make sure your toys are operable and functioning as manufactured. Keep a supply of batteries to replace them in your toys. • You mentioned wanting to make improvements to your playground. Contact Natural Learning Initiative (NLI), https://naturalearning.org/design-assistance/ about providing design assistance, design review, and professional development resources. NLI works with community partners, including landscape architects, to create model, research-based, ecologically viable outdoor settings. NLI believes that effective design must be a community-based process that engages all relevant stakeholders in developing a project mission, vision, and design objectives to support consensus-based design solutions. • The Division of Child Development and Early Education’s QRIS modernization requirements went into effect July 1, 2025. These requirements replace the old point-based system with three flexible "Pathways to the Stars" for earning star ratings in program assessment, classroom and instructional quality, and accreditation/Head Start. This new framework offers clear requirements for each star level within a pathway, expands education options for early childhood professionals, and focuses on continuous quality improvement and family/community engagement. Today it was explained that you can review the QRIS requirements for the new rated license process on the DCDEE website https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more. • 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. • The NC Institute for Child Development Professionals (NCICDP) began offering on-demand online trainings for Early Childhood professionals. Some sessions are developed originally as online trainings and others are live webinar events that were recorded and then adapted to an online on-demand format. Currently the NCICDP is offering these two trainings, Salary Scale Toolkit Level 1 Training and Professional Burnout in ECE: You Can’t Give to Others What You Don’t Have. Visit the online trainings at https://www.ncicdp.org/on-demand-trainings/. If there are any issues or questions about the Institute trainings, please reach out to Ashley Allen at ashleya@ncicdp.org and/or Erin Speer Smith at erins@ncicdp.org. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 26 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a 3 Star License that was issued on 4-8-22. The NC Secretary of State website was reviewed on 10-18-24 and the corporation’s name, Living Well Family Care Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 2-1-24 with a “Superior” classification. The last fire inspection was conducted on 11-7-23 and your facility was approved for daytime care only. The last annual compliance visit was conducted on 10-26-23. Today’s visit was conducted with you, Simone Jeffers, new Center Director. You accompanied me as we visited each indoor and outdoor space. I monitored the four (4) 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 engaging in daily activities with adequate supervision. The children were observed outside on the playground running about and completing pumpkin themed art at the table as the caregivers engaged with the children talking about pumpkins. The infants were cared for in a nurturing manner as their basic needs were met. 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, however you mentioned getting approved for transportation in the near future. 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 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall in space #3 (by the door leading to space #4) contained a hole where the door handle having contact with the wall has created a hole. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The surge protector in the room for the three (3) year olds and the surge protector in the lobby contained outlets that were not covered. 10A NCAC 09 .0604(c) 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: Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or should be classified as a tamper-resistant electrical outlet. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Review this with teachers during orientation as part of the observation of daily routines. Hold a staff meeting to review the different ways you all can work together to maintain compliance with childcare requirements regarding outlet covers. Today you covered all outlets when it was brought to your attention. Safe Environment: Well-maintained walls contribute to a safe and healthy learning space for children. Having walls in good repair is crucial for the safety and well-being of children as damaged walls can pose potential hazards like sharp edges, peeling paint (which could be ingested), unstable structures, and potential entry points for pests, all of which could lead to injuries or health issues for young children who naturally explore their environment through touch and movement. Today you patched the hole and indicated that you would purchase a door stopper to prevent the door handle from making contact with the wall. • Please complete the Preservice Requirements for Administrators form and send it to me asap. Be sure to get the owner’s signature on the form. • Ensure that your vehicle is in compliance with the requirements in child care rule 10A NCAC 09 .1001, including checking the tires using the “penny test” to verify that tire treads are not of less than 2/32 of an inch. Contact me to make a visit once you have your proof of insurance, registration, and a transportation notebook with an attendance for off and on the vehicle so I can approve the vehicle for transporting children. • You stated that you have completed the required 2.5 EPR training, however you can not locate your training certificate. If you can not locate your training certificate, possibly contact the agency where you took the training to request a duplicate certificate or you can retake the training to satisfy the child care requirement. On the NC Child Care Health and Safety Resource Center website https://healthychildcare.unc.edu/for-early-educators/ under the “For Early Educator” and “Training and Technical Assistance” you will find “Active EPR in Child Care” trainers with their contact information. • 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. • We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review staff and children’s files often to ensure the program is maintaining accurate licensing records. Although your files were organized it took some time to review them due to the amount of paperwork. Papers can be reduced in your children’s files, if possible the paperwork required for licensing can be placed on one side for ease of review. • Your annual fire inspection is due by November 7, 2024. Please send me the completed fire inspection form once it is completed. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • 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 link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1001 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 26 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a 3 Star License that was issued on 4-8-22. The NC Secretary of State website was reviewed on 10-18-24 and the corporation’s name, Living Well Family Care Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 2-1-24 with a “Superior” classification. The last fire inspection was conducted on 11-7-23 and your facility was approved for daytime care only. The last annual compliance visit was conducted on 10-26-23. Today’s visit was conducted with you, Simone Jeffers, new Center Director. You accompanied me as we visited each indoor and outdoor space. I monitored the four (4) 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 engaging in daily activities with adequate supervision. The children were observed outside on the playground running about and completing pumpkin themed art at the table as the caregivers engaged with the children talking about pumpkins. The infants were cared for in a nurturing manner as their basic needs were met. 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, however you mentioned getting approved for transportation in the near future. 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 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall in space #3 (by the door leading to space #4) contained a hole where the door handle having contact with the wall has created a hole. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The surge protector in the room for the three (3) year olds and the surge protector in the lobby contained outlets that were not covered. 10A NCAC 09 .0604(c) 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: Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or should be classified as a tamper-resistant electrical outlet. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Review this with teachers during orientation as part of the observation of daily routines. Hold a staff meeting to review the different ways you all can work together to maintain compliance with childcare requirements regarding outlet covers. Today you covered all outlets when it was brought to your attention. Safe Environment: Well-maintained walls contribute to a safe and healthy learning space for children. Having walls in good repair is crucial for the safety and well-being of children as damaged walls can pose potential hazards like sharp edges, peeling paint (which could be ingested), unstable structures, and potential entry points for pests, all of which could lead to injuries or health issues for young children who naturally explore their environment through touch and movement. Today you patched the hole and indicated that you would purchase a door stopper to prevent the door handle from making contact with the wall. • Please complete the Preservice Requirements for Administrators form and send it to me asap. Be sure to get the owner’s signature on the form. • Ensure that your vehicle is in compliance with the requirements in child care rule 10A NCAC 09 .1001, including checking the tires using the “penny test” to verify that tire treads are not of less than 2/32 of an inch. Contact me to make a visit once you have your proof of insurance, registration, and a transportation notebook with an attendance for off and on the vehicle so I can approve the vehicle for transporting children. • You stated that you have completed the required 2.5 EPR training, however you can not locate your training certificate. If you can not locate your training certificate, possibly contact the agency where you took the training to request a duplicate certificate or you can retake the training to satisfy the child care requirement. On the NC Child Care Health and Safety Resource Center website https://healthychildcare.unc.edu/for-early-educators/ under the “For Early Educator” and “Training and Technical Assistance” you will find “Active EPR in Child Care” trainers with their contact information. • 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. • We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review staff and children’s files often to ensure the program is maintaining accurate licensing records. Although your files were organized it took some time to review them due to the amount of paperwork. Papers can be reduced in your children’s files, if possible the paperwork required for licensing can be placed on one side for ease of review. • Your annual fire inspection is due by November 7, 2024. Please send me the completed fire inspection form once it is completed. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • 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 link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/18/2024 Number Present: 26 Completed Date: 10/18/2024 Age: From 0 To 4 Total Minutes: 380 Time In: 10:10 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a 3 Star License that was issued on 4-8-22. The NC Secretary of State website was reviewed on 10-18-24 and the corporation’s name, Living Well Family Care Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 2-1-24 with a “Superior” classification. The last fire inspection was conducted on 11-7-23 and your facility was approved for daytime care only. The last annual compliance visit was conducted on 10-26-23. Today’s visit was conducted with you, Simone Jeffers, new Center Director. You accompanied me as we visited each indoor and outdoor space. I monitored the four (4) 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 engaging in daily activities with adequate supervision. The children were observed outside on the playground running about and completing pumpkin themed art at the table as the caregivers engaged with the children talking about pumpkins. The infants were cared for in a nurturing manner as their basic needs were met. 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, however you mentioned getting approved for transportation in the near future. 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 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall in space #3 (by the door leading to space #4) contained a hole where the door handle having contact with the wall has created a hole. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The surge protector in the room for the three (3) year olds and the surge protector in the lobby contained outlets that were not covered. 10A NCAC 09 .0604(c) 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: Electrical Outlets: Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. For this reason, all electrical outlets, including those on power strips, not in use that are in areas accessible to children must be protected with a safety plug or should be classified as a tamper-resistant electrical outlet. Consider adding a note near the outlets to serve as a reminder to re-cover the outlets. Review this with teachers during orientation as part of the observation of daily routines. Hold a staff meeting to review the different ways you all can work together to maintain compliance with childcare requirements regarding outlet covers. Today you covered all outlets when it was brought to your attention. Safe Environment: Well-maintained walls contribute to a safe and healthy learning space for children. Having walls in good repair is crucial for the safety and well-being of children as damaged walls can pose potential hazards like sharp edges, peeling paint (which could be ingested), unstable structures, and potential entry points for pests, all of which could lead to injuries or health issues for young children who naturally explore their environment through touch and movement. Today you patched the hole and indicated that you would purchase a door stopper to prevent the door handle from making contact with the wall. • Please complete the Preservice Requirements for Administrators form and send it to me asap. Be sure to get the owner’s signature on the form. • Ensure that your vehicle is in compliance with the requirements in child care rule 10A NCAC 09 .1001, including checking the tires using the “penny test” to verify that tire treads are not of less than 2/32 of an inch. Contact me to make a visit once you have your proof of insurance, registration, and a transportation notebook with an attendance for off and on the vehicle so I can approve the vehicle for transporting children. • You stated that you have completed the required 2.5 EPR training, however you can not locate your training certificate. If you can not locate your training certificate, possibly contact the agency where you took the training to request a duplicate certificate or you can retake the training to satisfy the child care requirement. On the NC Child Care Health and Safety Resource Center website https://healthychildcare.unc.edu/for-early-educators/ under the “For Early Educator” and “Training and Technical Assistance” you will find “Active EPR in Child Care” trainers with their contact information. • 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. • We discussed record keeping is one of the most time-consuming tasks associated with operating a childcare program. It is an important part of licensure. As an administrator you must allow time to review all necessary documentation to ensure accuracy. Review staff and children’s files often to ensure the program is maintaining accurate licensing records. Although your files were organized it took some time to review them due to the amount of paperwork. Papers can be reduced in your children’s files, if possible the paperwork required for licensing can be placed on one side for ease of review. • Your annual fire inspection is due by November 7, 2024. Please send me the completed fire inspection form once it is completed. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • 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 link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 33 Completed Date: 5/6/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 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 4-8-22. Today’s visit was conducted with you, Ashley Harvell, center director. Upon arrival to the facility, I was greeted by you. I did a walk-through of the five (5) 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. During the visit, the children were observed outside on the playground running about, climbing on the non-stationary toys, riding on trikes, and sitting and conversating with a caregiver at the picnic table. Indoors, the children were observed in activity centers, completing toileting/diapering routines and handwashing routines. A partial assessment of child care requirements were monitored and the following violations were cited during today’s visit. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 permission to administer Aquaphor and a Ventolin Inhaler were not available. In space #2 permission to administer Triple Paste Diaper Ointment was not available. 10A NCAC 09 .0803(1)(a & b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Documentation has not been maintained for a Ventolin Inhaler that has been administered every four hours to an infant in space #1. .0803(13)(a-e); .2318(3) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 5-20-24 describing accurately and in detail, how and when the violations were corrected and a plan to prevent future violations. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. Medication administration is a crucial part of a child’s care. Whether a child needs medication to manage asthma, allergies, seizures, diabetic care, or other conditions, you want to make sure that the medication is given safely and correctly. No medication can be left at the center if the permission slip has not been properly completed and signed by the parent. In addition, documentation of administration of the medication is just as important. Clear and concise administration of medication documentation is critical to providing children with quality care, ensuring accurate and timely administration, along with mitigating risks, all help with the child’s treatment and to maintain the continuum of the child’s care. As an administrator you must allow time to review all necessary documentation to ensure accuracy. It was suggested to set an alarm weekly to conduct a review of medications and medication permission slips. • Center directors 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. During today’s visit you completed this process for your facility and a representative from the Criminal Records Check Unit was on the phone walking you through the process. Now you must get all of your staff to log into the ABCMS portal and link themselves to Childworks Preschool. • 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/. Contact me if you have questions or concerns: 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: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/6/2024 Number Present: 33 Completed Date: 5/6/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 10:00 AM Time Out: 02:15 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 4-8-22. Today’s visit was conducted with you, Ashley Harvell, center director. Upon arrival to the facility, I was greeted by you. I did a walk-through of the five (5) 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. During the visit, the children were observed outside on the playground running about, climbing on the non-stationary toys, riding on trikes, and sitting and conversating with a caregiver at the picnic table. Indoors, the children were observed in activity centers, completing toileting/diapering routines and handwashing routines. A partial assessment of child care requirements were monitored and the following violations were cited during today’s visit. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #1 permission to administer Aquaphor and a Ventolin Inhaler were not available. In space #2 permission to administer Triple Paste Diaper Ointment was not available. 10A NCAC 09 .0803(1)(a & b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. Documentation has not been maintained for a Ventolin Inhaler that has been administered every four hours to an infant in space #1. .0803(13)(a-e); .2318(3) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 5-20-24 describing accurately and in detail, how and when the violations were corrected and a plan to prevent future violations. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • 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. Medication administration is a crucial part of a child’s care. Whether a child needs medication to manage asthma, allergies, seizures, diabetic care, or other conditions, you want to make sure that the medication is given safely and correctly. No medication can be left at the center if the permission slip has not been properly completed and signed by the parent. In addition, documentation of administration of the medication is just as important. Clear and concise administration of medication documentation is critical to providing children with quality care, ensuring accurate and timely administration, along with mitigating risks, all help with the child’s treatment and to maintain the continuum of the child’s care. As an administrator you must allow time to review all necessary documentation to ensure accuracy. It was suggested to set an alarm weekly to conduct a review of medications and medication permission slips. • Center directors 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. During today’s visit you completed this process for your facility and a representative from the Criminal Records Check Unit was on the phone walking you through the process. Now you must get all of your staff to log into the ABCMS portal and link themselves to Childworks Preschool. • 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/. Contact me if you have questions or concerns: 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 .0304 · Violation

Name of Operation: CHILDWORKS PRESCHOOL Facility ID: 92003783 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 28 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 285 Time In: 12:00 PM Time Out: 04:45 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 3 Star License that was issued on 4-8-22. The NC Secretary of State website was reviewed on 10-26-23 and the corporation’s name, Living Well Family Care Inc. was listed as “Current-Active.” The last sanitation inspection was completed on 2-2-23 with a “Superior” classification. The last fire inspection was conducted on 10-24-22 and your facility was approved for daytime care only. The last annual compliance visit was conducted on 10-28-22. Today’s visit was conducted with you, Azia Clark, Assistant Director. You visited each indoor and outdoor space with me. I monitored the four (4) 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 engaging in daily activities with adequate supervision. The children were observed on the carpet with a caregiver building with blocks, dancing and singing, outside on the playground running about and sitting at the table with a caregiver playing a matching memory game. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records will be 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 were not observed on the premises 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10-24-22. 10A NCAC 09 .0304(a) 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 5-31-23 has not completed the Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 11-9-23 stating how the violations have 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. If I do not receive your letter by 11-9-23, a return visit to your program may be made to monitor for compliance of the violation. Additional violations may be documented if the item has not been corrected or addressed. The following were discussed with you during today’s visit: • Please submit your staff training worksheets asap. • Please add an updated date to your allergy list. • Add more names to your Emergency Medical Care Plan. • The refrigerator in the room for infants needs to be defrosted. • Clarification was provided regarding filling out the staff orientation form. • 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. • 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 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