Early Stages Child Care Center

G.S. 110-90 · Violation

Name of Operation: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: MICHELE HIRSCH Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 28 Completed Date: 10/23/2025 Age: From 0 To 4 Total Minutes: 80 Time In: 09:30 AM Time Out: 10:50 AM 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 NC Childcare requirements during a routine unannounced visit. The facilities’ last annual compliance visit was conducted on May 14th, 2024. A checklist was used to note the requirements I monitored today. The center currently operates with a 3- star license, operating at 30sq. ft. inside, & enhanced ratios. My visit was conducted with you, Britney Fisher, Administrative Assistant, and Tyneita Blount, owner and center staff. The children were observed participating in napping and tummy time in the infant room, circle time, and the beginning of lunch. Lunch was in compliance with USDA guidelines for children in childcare. During the walkthrough to obtain enrollment and conduct observations. I monitored required posted documents (license, EMC, sanitation, no smoking, first aid signage, program records) interactions between staff and children, discipline, supervision, indoor and outdoor environment, group sizes, space capacity, program requirements, toys, materials, equipment and furnishings. VERIFICATION OF RECORDS: *Last fire inspection= 4/16/2025 and approved for daytime care only *Sanitation inspection= 10/8/2025- 4 demerits superior rating. *Fire Drill- 9/25/2025 *Playground inspection- 10/15/2024 *Lockdown- 9/17/2025 * EPR plan last updated 5/14/2025 • The following violation was cited during today’s visit and requires a letter of corrective action. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS criminal record portal requirement was not completed. G.S. 110-90.2 & .2703(r) *****TECHNICAL ASSISTANCE/REMINDERS: ******* Violations of childcare requirements were cited during your visit and a letter of corrective action is required by November 5th, 2025. A letter of corrective action with your facility name, ID #, item # how you corrected the violation and how you will keep in compliance going forward. • https://www.dcdee.moodle.nc.gov/enrol/index.php?id=119 • Once you finish that training, it will give you a form to fill out so you can • get your facility registered. • After you get your facility registered...the portal you will use as a provider is different than the portal that staff use to apply for new background checks. The provider portal is here: • https://idpprod.nc.gov:8443/nidp/saml2/sso?id=6&sid=1&option=credential&sid=1 Please follow the links or the emails I sent to you to create your portal and link your staff. • Conversation was related to the rated license QRIS modernization and the three pathways and you stated you have been working on reading about each pathway and have not made a decision yet on which pathway you are going to commit to. Guidance was provided on the pathway requirements and informed you to visit www.ncchildcare.ncdhhs.nc.gov and put QRIS in the search bar and click on the first link and scroll to the bottom and watch the videos and read the documents and links. If you have any questions, please feel free to contact me. Michele Hirsch, DCDEE Licensing Consultant Michele.j.hirsch@dhhs.nc.gov 919-819-9364 1020 Lake Royale Louisburg, NC 27549 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: MICHELE HIRSCH Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 27 Completed Date: 4/15/2025 Age: From 1 To 5 Total Minutes: 174 Time In: 08:50 AM Time Out: 11:44 AM 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 NC Childcare requirements during unannounced annual compliance visit. The facilities’ last annual compliance visit was conducted on May 14th, 2024. A checklist was used to note the requirements I monitored today. The center currently operates with a 3- star license, operating at 30sq. ft. inside, & enhanced ratios. My visit was conducted with you, Tyneita Blount, owner and center staff Kimberly Gilliam, Director arrived at the conclusion of my visit. The children were observed participating in structured tabletop activities as documented on the activity schedule, outdoor play, lunch and going down for nap at the conclusion of the visit. Lunch was in compliance with USDA guidelines for children in childcare. During the walkthrough to obtain enrollment and conduct our observations. We monitored required posted documents (license, EMC, sanitation, no smoking, first aid signage) interactions between staff and children, discipline, supervision, indoor and outdoor environment, group sizes, space capacity, program requirements, toys, materials, equipment and furnishings. VERIFICATION OF RECORDS: *Last fire inspection= 4/17/2024 and approved for daytime care only- during today’s visit a phone call was made to your newly assigned fire inspector following your completion of your online appointment request. You showed me communication with your former inspector in March to show you were working on coming into compliance with this requirement. *Sanitation inspection= 1/16/2025- 4 demerits superior rating. *Fire Drill- 3/14/2025- 9:52am took 1 minute *Playground inspection- 3/15/2025 *Shelter in place- 3/21/2025 @ 4:45pm and took 45 seconds * EPR plan last updated 4/19/2024 * Compliance history prior to today’s visit- 97% * EPR- 4/19/2024 – update your plan prior to the 19th * clean water for Carolina cleans requirements have been met • The following violation was cited during today’s visit and requires a letter of corrective action. Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Review of children's files found a child's application incomplete and no facility policies or statements completed and available for review. GS 110-91(1);.0302(d)(2); .0304(g) *****TECHNICAL ASSISTANCE/REMINDERS: ******* Violation of childcare requirements were cited during your visit and a letter of corrective action is required by April 29th, 2025. A letter of corrective action with your facility name, ID #, item # how you corrected the violation and how you will keep in compliance going forward. • Reminder #2- ABCMS requirements were sent to you via email today for you to immediately meet the criminal record requirement. • New fire inspector contact information was shared with you today. • A violation of childcare requirements was cited during today’s visit related to children’s files. Please follow the children’s file checklist and review the timeframe when documents are due to make sure all files are complete as per requirements. Michele Hirsch, DCDEE Licensing Consultant Michele.j.hirsch@dhhs.nc.gov 919-819-9364 1020 Lake Royale Louisburg, NC 27549 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. 110-90 · Violation

Name of Operation: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: MICHELE HIRSCH Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 22 Completed Date: 11/12/2024 Age: From 0 To 5 Total Minutes: 121 Time In: 09:20 AM Time Out: 11:21 AM 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 NC Childcare requirements during a routine unannounced visit. The facilities’ last annual compliance visit was conducted on May 14th, 2024. A checklist was used to note the requirements I monitored today. Michele Remington, Licensing supervisor, accompanied me on today’s visit. The center currently operates with a 3- star license, operating at 30sq. ft. inside, & enhanced ratios. Our visit was conducted with you, Kimberly Gilliam, Director, Tyneita Blount, owner and center staff. The children were observed participating in naptime and playing in the infant room, circle time, and the beginning of lunch. Lunch was in compliance with USDA guidelines for children in childcare. During the walkthrough to obtain enrollment and conduct our observations. We monitored required posted documents (license, EMC, sanitation, no smoking, first aid signage) interactions between staff and children, discipline, supervision, indoor and outdoor environment, group sizes, space capacity, program requirements, toys, materials, equipment and furnishings. This facility does not provide transportation. VERIFICATION OF RECORDS: *Last fire inspection= 4/17/2024 and approved for daytime care only *Sanitation inspection= 8/2/2024- 7 demerits superior rating. *Fire Drill- 10/17/2024- 9:30 am *Playground inspection- 10/15/2024 *Shelter in place- 9/18/2024 @ 2pm and took 2 mins * EPR plan last updated 4/19/2024 * Compliance history prior to today’s visit- 97% * Pro-care is used for attendance and sign-in •The following violations were cited during today’s visit and requires a letter of corrective action. Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff had health questionnaire's that were completed in 2023 and not updated prior to its expiration. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. During the walkthrough in the space for enrolled two year old's we observed a cup of hot tea with a cover and Fritos that were accessible to the enrolled children. .0901(i) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. A new employee assigned to work in the infant room had not completed training yet and was working alone in the classroom, not working along side a staff person with ITS-SIDS training until it is obtained. .01102 (f) *****TECHNICAL ASSISTANCE/REMINDERS: ******* Violations of childcare requirements were cited during your visit and a letter of corrective action is required by November 24th, 2024. A letter of corrective action with your facility name, ID #, item # how you corrected the violation and how you will keep in compliance going forward. • Activity schedules and outside time should be followed and utilize the weather chart to determine if modifications need to be made to the times outside. Cold weather is coming. • Health questionnaires should be completed prior to the date it was completed the year before. • Orientation forms should not be signed and dated until all orientation topics are completed and all sections of the form are signed off first. • CBC Provider Portal Technical Assistance & Notification to the Division of New Hires or Residents Technical Assistance Guidance As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Michele Hirsch, DCDEE Licensing Consultant Michele.j.hirsch@dhhs.nc.gov 919-819-9364 1020 Lake Royale Louisburg, NC 27549 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: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 34 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Three (3) Star License that was issued on 4-6-23. The last sanitation inspection was completed on 10-5-23 with an “Superior” classification. The last approved fire inspection was conducted on 4-17-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Early Stages Child Care Center, LLC was listed as “Current-Active.” Today’s visit was conducted with you, Kimberly Gilliam, center director. I monitored the four (4) 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 interacting in activity centers, singing and dancing to music, at the table completing an art activity drawing and coloring the habitat of their favorite animal, and sitting at the table while the caregiver read books to the children. Appropriate handwashing and diapering routines were also observed. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Nystatin Ointment for one child was not available. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label for Nystatin Ointment located in space #1A was not available. .0803(2)(a) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 5-28-24 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. 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. • 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. • 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. • 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

NC GS 110-90 · Violation

Name of Operation: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 34 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Three (3) Star License that was issued on 4-6-23. The last sanitation inspection was completed on 10-5-23 with an “Superior” classification. The last approved fire inspection was conducted on 4-17-24. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, Early Stages Child Care Center, LLC was listed as “Current-Active.” Today’s visit was conducted with you, Kimberly Gilliam, center director. I monitored the four (4) 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 interacting in activity centers, singing and dancing to music, at the table completing an art activity drawing and coloring the habitat of their favorite animal, and sitting at the table while the caregiver read books to the children. Appropriate handwashing and diapering routines were also observed. The program requirements, along with equipment and furnishings were observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. Medication observed on the premises was monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Nystatin Ointment for one child was not available. 10A NCAC 09 .0803(1)(a & b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescription label for Nystatin Ointment located in space #1A was not available. .0803(2)(a) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 5-28-24 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. 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. • 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. • 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. • 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

G.S. 110-91 · Violation

Name of Operation: EARLY STAGES CHILD CARE CENTER Facility ID: 92003759 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0823-112L Visit Date: 8/8/2023 Number Present: 24 Completed Date: 8/8/2023 Age: From 0 To 5 Total Minutes: 280 Time In: 12:20 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate allegations of noncompliance with child care requirements. Today’s visit was conducted with you, Ms. Tyneita Blount. This facility currently operates with a Three Star License that was issued on 4-6-23. Upon arrival to the facility, I was greeted by you, and the complaint allegations regarding staff/child ratios and staff files were shared with you. In regard to the allegation concerning staff/child ratios, it was alleged that there are five (5) one year olds and an eight (8) month old in care with one (1) caregiver. You stated that staff/child ratios are maintained at all times. You added that caregivers are aware of the ratios and that if for some reason, there is a caregiver absent, children may be combined to ensure that the staff/child ratios and group sizes are met. Caregivers present were interviewed and indicated that staff/child ratios are maintained. Caregivers corroborated that children are moved around when needed to ensure that ratios are maintained as required. During today’s visit attendance records were observed and staff/child ratios were observed in compliance in all classrooms. Based on my observations and conversation with staff, the allegation regarding staff/child ratios is unsubstantiated. Regarding the allegation concerning staff records, it was alleged that only one caregiver has a file. When the allegation was shared with you, you stated that all staff have an employee file, along with a medical file. You provided eight (8) files for the currently employed staff. Based on my observations and conversation with staff, the allegation regarding staff records is unsubstantiated. The following violation of child care requirements was observed during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided during today’s visit. Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. A staff file record was available for each staff member, however all of the required paperwork for each staff file was not available. Staff development plans, health questionnaire, orientation, maltreatment training, CPR & First Aid training, shaken baby syndrome acknowledgement, etc. was paperwork missing from some staff files. G.S. 110-91(9); .0304(g); .2318 The above violation must be corrected immediately and a letter must be sent to me no later than 8-22-23 stating how the item was 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. If I do not receive your letter by 8-22-23 and/or if you do not address the violation a return visit to your program may be made to monitor for compliance of the violation. Additional violations may be documented if the situation has not been corrected or addressed. The following were discussed with you during today’s visit: • Today time was spent discussing each staff file form and how to fill it out. Please use the staff file checklist provided today and reorganize your files asap. • Continue to use your Child Care Health Consultant, Maria Nelson, RN as a resource for health and safety practices and reach out to Child Care Services Association’s Infant/Toddler Specialist as a resource. • We discussed that new Sanitation rules went into effect on 7-1-23. Please familiarize yourself with these rules because your sanitation inspection will be due sometime this month. https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ • 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. • Criminal Record Qualifying Letters are now valid for 5 years and there is a new portal for Criminal Background Checks. Please amend your current letters on file by adding 2 years to the letter's listed expiration date. • Please 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