10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/10/2025 Number Present: 62 Completed Date: 10/10/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 11:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 6-11-25. The last sanitation inspection was completed on 6-26-25 with an “Superior” classification. The last approved fire inspection was conducted on 11-21-24. The NC Secretary of State website was reviewed today and the corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Ashley Mundon-Barrett, the new center director. I monitored the eleven (11) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and rich engagement from the caregivers. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications observed on the premises were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. Staff files did not contain all of the required information. Two staff members employed more than 90 days did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training. Two staff members did not have a medical report on file. One staff member did not have TB Test results on file. Three staff members did not have documentation that orientation was completed as required. G.S. 110-91( 9) 1879 Medication was not labeled with the child's name, and/or written instructions did not include the required information. Desitin and Boogie Bottoms Diaper Rash Cream Spray were not labeled with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-24-25 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. 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. Please separate in the files any KinderCare paperwork from paperwork required for maintaining licensure. Labeling: Labeling medication with the child's name is crucial to identifying who the medication belongs to, prevents accidental ingestion, and ensures safe administration. Proper labeling allows for accurate documentation of medication administration, which is essential for tracking and managing the child's medication regimen. It was suggested that when a parent/guardian brings in medication, immediately label the medication with the child’s name using a permanent marker or with a piece of tape containing the child’s name. Permanent markers and/or tape should be accessible in each classroom or wherever the medication is dropped off. • You requested that a technical assistance visit be conducted in the near future since you are new to North Carolina and North Carolina child care requirements. • Your lead in water results were completed on 10-17-2024, however your asbestos and lead in paint from Clean Classrooms for Carolina Kids has not been completed. • Please link your staff in the ABCMS portal. Today you had to pay fees because you were locked out of the Provider Portal due to non-payment of outstanding fees. Immediately begin linking your staff once the Provider Portal is unlocked. If you need assistance reach out me or someone in the criminal records unit. • Please complete the staff and training worksheets and return to me asap. • Your annual fire inspection is due by 11-21-25. The link to the City of Raleigh’s request for an annual fire inspection was provided for you today. It was suggested to submit the request on the first of November in order to ensure your inspection is completed by 11-21-25. Contact Pye Barker to complete the inspections of your alarm system and fire extinguishers prior to contacting the City of Raleigh. • In order to access your EPR Plan to update the information with your new director name, you need the username and password to access the Risk Management Portal. If you can not access the Portal, complete the EPR Help form to request access to your EPR Plan. • 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/10/2025 Number Present: 62 Completed Date: 10/10/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 11:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 6-11-25. The last sanitation inspection was completed on 6-26-25 with an “Superior” classification. The last approved fire inspection was conducted on 11-21-24. The NC Secretary of State website was reviewed today and the corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Ashley Mundon-Barrett, the new center director. I monitored the eleven (11) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and rich engagement from the caregivers. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications observed on the premises were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. Staff files did not contain all of the required information. Two staff members employed more than 90 days did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training. Two staff members did not have a medical report on file. One staff member did not have TB Test results on file. Three staff members did not have documentation that orientation was completed as required. G.S. 110-91( 9) 1879 Medication was not labeled with the child's name, and/or written instructions did not include the required information. Desitin and Boogie Bottoms Diaper Rash Cream Spray were not labeled with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-24-25 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. 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. Please separate in the files any KinderCare paperwork from paperwork required for maintaining licensure. Labeling: Labeling medication with the child's name is crucial to identifying who the medication belongs to, prevents accidental ingestion, and ensures safe administration. Proper labeling allows for accurate documentation of medication administration, which is essential for tracking and managing the child's medication regimen. It was suggested that when a parent/guardian brings in medication, immediately label the medication with the child’s name using a permanent marker or with a piece of tape containing the child’s name. Permanent markers and/or tape should be accessible in each classroom or wherever the medication is dropped off. • You requested that a technical assistance visit be conducted in the near future since you are new to North Carolina and North Carolina child care requirements. • Your lead in water results were completed on 10-17-2024, however your asbestos and lead in paint from Clean Classrooms for Carolina Kids has not been completed. • Please link your staff in the ABCMS portal. Today you had to pay fees because you were locked out of the Provider Portal due to non-payment of outstanding fees. Immediately begin linking your staff once the Provider Portal is unlocked. If you need assistance reach out me or someone in the criminal records unit. • Please complete the staff and training worksheets and return to me asap. • Your annual fire inspection is due by 11-21-25. The link to the City of Raleigh’s request for an annual fire inspection was provided for you today. It was suggested to submit the request on the first of November in order to ensure your inspection is completed by 11-21-25. Contact Pye Barker to complete the inspections of your alarm system and fire extinguishers prior to contacting the City of Raleigh. • In order to access your EPR Plan to update the information with your new director name, you need the username and password to access the Risk Management Portal. If you can not access the Portal, complete the EPR Help form to request access to your EPR Plan. • 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: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/10/2025 Number Present: 62 Completed Date: 10/10/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 11:45 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Five (5) Star License that was issued on 6-11-25. The last sanitation inspection was completed on 6-26-25 with an “Superior” classification. The last approved fire inspection was conducted on 11-21-24. The NC Secretary of State website was reviewed today and the corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Ashley Mundon-Barrett, the new center director. I monitored the eleven (11) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and rich engagement from the caregivers. The program requirements, along with equipment and furnishings were observed. Compliance with staff records will be documented by you. New staff records, along with children’s records were reviewed today. Medications and permission to administer medications observed on the premises were monitored. This facility does not provide transportation. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 1043 All staff records, except financial records, were not made available for review. Staff files did not contain all of the required information. Two staff members employed more than 90 days did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training. Two staff members did not have a medical report on file. One staff member did not have TB Test results on file. Three staff members did not have documentation that orientation was completed as required. G.S. 110-91( 9) 1879 Medication was not labeled with the child's name, and/or written instructions did not include the required information. Desitin and Boogie Bottoms Diaper Rash Cream Spray were not labeled with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 10-24-25 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. 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. Please separate in the files any KinderCare paperwork from paperwork required for maintaining licensure. Labeling: Labeling medication with the child's name is crucial to identifying who the medication belongs to, prevents accidental ingestion, and ensures safe administration. Proper labeling allows for accurate documentation of medication administration, which is essential for tracking and managing the child's medication regimen. It was suggested that when a parent/guardian brings in medication, immediately label the medication with the child’s name using a permanent marker or with a piece of tape containing the child’s name. Permanent markers and/or tape should be accessible in each classroom or wherever the medication is dropped off. • You requested that a technical assistance visit be conducted in the near future since you are new to North Carolina and North Carolina child care requirements. • Your lead in water results were completed on 10-17-2024, however your asbestos and lead in paint from Clean Classrooms for Carolina Kids has not been completed. • Please link your staff in the ABCMS portal. Today you had to pay fees because you were locked out of the Provider Portal due to non-payment of outstanding fees. Immediately begin linking your staff once the Provider Portal is unlocked. If you need assistance reach out me or someone in the criminal records unit. • Please complete the staff and training worksheets and return to me asap. • Your annual fire inspection is due by 11-21-25. The link to the City of Raleigh’s request for an annual fire inspection was provided for you today. It was suggested to submit the request on the first of November in order to ensure your inspection is completed by 11-21-25. Contact Pye Barker to complete the inspections of your alarm system and fire extinguishers prior to contacting the City of Raleigh. • In order to access your EPR Plan to update the information with your new director name, you need the username and password to access the Risk Management Portal. If you can not access the Portal, complete the EPR Help form to request access to your EPR Plan. • 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: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0525-234L Visit Date: 5/30/2025 Number Present: 75 Completed Date: 5/30/2025 Age: From 0 To 5 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 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 an allegation of noncompliance with child care requirements. Today’s visit was conducted with you, Mary Jo David, center director. This facility currently operates with a Five Star License that was issued on 5-14-23. Upon arrival to the facility, I was greeted by you. The complaint allegation regarding supervision was discussed with you. It was reported that when a parent arrived to pick up their toddler, the child was observed alone in the classroom with the lights turned off, while the rest of the children were on the playground. How long the child was left unattended and the date of this incident was not reported. You immediately stated that you were not made aware of any incident. You further explained that the parents of the children enrolled at this facility would have informed you if they found their child in the classroom unattended. The assistant director and the four caregivers in the classrooms for toddlers were interviewed. They all indicated that they were unaware of any incident where a toddler was left unsupervised in the classroom. They added that parents will talk and come to them with any issues and concerns, however no parents have informed them of a child being left in a classroom unattended. The staff members stated that they use the face to name documentation to account for all children any time they cross a threshold. During today’s visit all children were adequately supervised. Based on observations and my conversations with you and staff members, the allegation regarding supervision is unsubstantiated. During today’s visit you explained that there was an incident that occurred yesterday, on 5-29-25 at 4:54pm where a two (2) year old child was left on the playground for approximately one (1) to two (2) minutes while the children transitioned from the playground to their classroom, space #9. See violation below. The following violation of child care requirements was cited during today’s visit and must be corrected immediately. Technical assistance on how to prevent future violations was discussed with you. Today you provided measures that you have already implemented to prevent future violations. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 5-29-25 at 4:54pm a two (2) year old child was left on the playground for approximately one (1) to two (2) minutes while the children transitioned from the playground to their classroom, space #9. .1801(a)(1-5) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 6-13-25 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: • A follow-up visit will be conducted in the near future. • 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: • Supervision in child care is the key to ensuring every child’s safety, well-being and thriving learning experiences. Supervision promotes a safe environment and prevents injuries in young children, requires focused attention and intentional observation at all times. Technical assistance was provided today, recommending additional supervision training. You indicated that further training for staff is necessary and should be completed as soon as possible. I also reiterated the importance of ensuring children are properly supervised at all times, with staff maintaining full awareness of their whereabouts. It was emphasized that the use of CSR (Child Supervision Record) head counts must continue, with management overseeing the process to ensure staff complete these forms accurately and consistently each day. • You stated that you have already implemented a new procedure requiring staff to contact management prior to transitioning from one area to another. Management is now required to watch staff complete the face to name on the CSRs to verify all children are accounted for. You also stated that you would be revising your supervision policy for staff to review at the mandatory staff meeting on 6-2-25 at 6:00pm. • 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0325-150L Visit Date: 3/18/2025 Number Present: 96 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 60 Time In: 02:00 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate an allegation of noncompliance with child care requirements. Today’s visit was conducted with you, Mary Jo David, center director. This facility currently operates with a Five (5) Star License that was issued on 5-14-23. Upon arrival to the facility, I was greeted by you and the complaint allegation regarding nutrition was discussed with you. It was alleged that an infant was given a bottle that was intended for another child. You stated that there was an incident where an infant was given the wrong bottle. On the day in question, when preparing to feed an infant, the additional caregiver in the room asked the assigned caregiver was the infant the correct child whose name was labeled on the bottle. The assigned caregiver responded that it was the correct infant. Inadvertently, the bottle was given to the wrong infant. You stated that the children’s safety and wellbeing are very important, and careless mistakes are addressed with staff immediately. The assigned caregiver was reprimanded with a write up and afterwards turned in their resignation. Based on my conversation with you, the allegation concerning nutrition is substantiated. See violation below. Violation Number Comment Rule 1887 Each infant was not served only bottles labeled with their individual name. In space #1, a caregiver served an infant a bottle that was not labeled with their individual name. .0902(d) 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: The following were discussed with you during today’s visit: • Bottle Feeding: Feeding a bottle to the wrong child can have serious dangers. Possible risks could include allergies or intolerances and health risks such as hepatitis B, hepatitis C, and HIV transmission. As well, legal and regulatory consequences may result in feeding the wrong child. It was suggested to place the infant’s picture on each feeding schedule to ensure caregivers are feeding the correct infant. You have implemented a system where each infant has their own color of tape used to label each bottle. It was also suggested to print out a chart with a large font to list each infant’s name and the color of tape designated for their bottles. This chart can be posted next to the feeding schedules on the cabinet where it can be easily observed. Today the various colors of tape were observed being used to label the bottles. See next page for Routine Unannounced Visit Summary. 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

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 88 Completed Date: 10/11/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 10:00 AM Time Out: 05:20 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 Five (5) Star License that was issued on 5-14-23. The last sanitation inspection was completed on 10-10-24 with an “Superior” classification. The last approved fire inspection was conducted on 12-5-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Jo David, center director. I monitored the ten (10) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed lining up to go outside, cleaning up from time in activity centers, outside on the playground running about and interacting on the play structure, eating lunch, completing appropriate handwashing and toileting routines, and resting on cot with linens. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. 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. 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 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1, #3 and #4, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 807 A safe indoor and outdoor environment was not provided for the children. On the playground for the preschoolers, ages 3 to 5, there are dips and grooves in the turf causing possible tripping hazards. There is water runoff from the retaining wall on the playground, causing displacement of soil underneath the turf, resulting in the dips and grooves. There are mounds of concrete at the bottom of the shade structure posts. The concreate is covered with black rubber pour-in-place that is separating, leaving the concreate exposed with some sharp areas of the concrete. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 there was no permission to administer Boudreaux Butt Paste and Coppertone Baby Sunscreen. 10A NCAC 09 .0803(1)(a & b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staff did not have current certification in First Aid as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staff did not have current certification in CPR as required. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, incident report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-25-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Safe Environment: Maintaining a safe playground is crucial because it protects children from potential injuries, allows them to play freely and explore their environment without fear, and promotes their overall physical, social, and cognitive development by providing a secure space for active play; essentially, a safe playground ensures children can have fun while minimizing risks of accidents during outdoor playtime. You stated that you have reported the erosion under the turf on the playground. I contacted KinderCare’s Facilities Manager to inquire about an estimated time for repair. They assured me that they would make phone calls to start a plan of action for correcting the playground items. They stated that it would probably take more than two weeks to correct the items, however, they would be working diligently. Please keep me updated of the progress with the playground. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • Contact Foundations to get the Certificate of Compliance for your cribs. • A suggestion was made to keep the staff/child ratios posted inside the classroom instead of outside the classroom. If a caregiver is new and/or unfamiliar with the required staff/child ratios, they need to be in the classroom for easy reference. • 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 too some to review them due to the amount of paperwork. Papers can be reduced in your staff files and in your children’s files the paperwork required for licensing can be placed on one side for ease of review. • On staff member has a provisional letter that expires on November 9, 2024. Please check on the status to ensure that the provisional letter does not expire. • We discussed that since you are a new center director and learning the NC child care laws and rules you should use your surrounding KinderCare directors as a resource. • Your annual fire inspection is due by November 5, 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 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 88 Completed Date: 10/11/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 10:00 AM Time Out: 05:20 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 Five (5) Star License that was issued on 5-14-23. The last sanitation inspection was completed on 10-10-24 with an “Superior” classification. The last approved fire inspection was conducted on 12-5-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Jo David, center director. I monitored the ten (10) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed lining up to go outside, cleaning up from time in activity centers, outside on the playground running about and interacting on the play structure, eating lunch, completing appropriate handwashing and toileting routines, and resting on cot with linens. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. 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. 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 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1, #3 and #4, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 807 A safe indoor and outdoor environment was not provided for the children. On the playground for the preschoolers, ages 3 to 5, there are dips and grooves in the turf causing possible tripping hazards. There is water runoff from the retaining wall on the playground, causing displacement of soil underneath the turf, resulting in the dips and grooves. There are mounds of concrete at the bottom of the shade structure posts. The concreate is covered with black rubber pour-in-place that is separating, leaving the concreate exposed with some sharp areas of the concrete. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 there was no permission to administer Boudreaux Butt Paste and Coppertone Baby Sunscreen. 10A NCAC 09 .0803(1)(a & b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staff did not have current certification in First Aid as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staff did not have current certification in CPR as required. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, incident report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-25-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Safe Environment: Maintaining a safe playground is crucial because it protects children from potential injuries, allows them to play freely and explore their environment without fear, and promotes their overall physical, social, and cognitive development by providing a secure space for active play; essentially, a safe playground ensures children can have fun while minimizing risks of accidents during outdoor playtime. You stated that you have reported the erosion under the turf on the playground. I contacted KinderCare’s Facilities Manager to inquire about an estimated time for repair. They assured me that they would make phone calls to start a plan of action for correcting the playground items. They stated that it would probably take more than two weeks to correct the items, however, they would be working diligently. Please keep me updated of the progress with the playground. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • Contact Foundations to get the Certificate of Compliance for your cribs. • A suggestion was made to keep the staff/child ratios posted inside the classroom instead of outside the classroom. If a caregiver is new and/or unfamiliar with the required staff/child ratios, they need to be in the classroom for easy reference. • 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 too some to review them due to the amount of paperwork. Papers can be reduced in your staff files and in your children’s files the paperwork required for licensing can be placed on one side for ease of review. • On staff member has a provisional letter that expires on November 9, 2024. Please check on the status to ensure that the provisional letter does not expire. • We discussed that since you are a new center director and learning the NC child care laws and rules you should use your surrounding KinderCare directors as a resource. • Your annual fire inspection is due by November 5, 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 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 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: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 88 Completed Date: 10/11/2024 Age: From 0 To 4 Total Minutes: 440 Time In: 10:00 AM Time Out: 05:20 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 Five (5) Star License that was issued on 5-14-23. The last sanitation inspection was completed on 10-10-24 with an “Superior” classification. The last approved fire inspection was conducted on 12-5-23. The NC Secretary of State website was reviewed today and this facility’s corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Jo David, center director. I monitored the ten (10) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The program was also monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. Children completed daily activities with adequate supervision and engagement from the caregivers. The children were observed lining up to go outside, cleaning up from time in activity centers, outside on the playground running about and interacting on the play structure, eating lunch, completing appropriate handwashing and toileting routines, and resting on cot with linens. The infants were observed being held, fed bottles and on the floor with age appropriate toys. The caregivers were observed completing diapering/handwashing routines and attending to the children’s basic needs. 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. 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 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In spaces #1, #3 and #4, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity. .0510 (e ) (1)(A-G) 807 A safe indoor and outdoor environment was not provided for the children. On the playground for the preschoolers, ages 3 to 5, there are dips and grooves in the turf causing possible tripping hazards. There is water runoff from the retaining wall on the playground, causing displacement of soil underneath the turf, resulting in the dips and grooves. There are mounds of concrete at the bottom of the shade structure posts. The concreate is covered with black rubber pour-in-place that is separating, leaving the concreate exposed with some sharp areas of the concrete. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3 there was no permission to administer Boudreaux Butt Paste and Coppertone Baby Sunscreen. 10A NCAC 09 .0803(1)(a & b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. All staff did not have current certification in First Aid as required. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. All staff did not have current certification in CPR as required. .1102(d) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, incident report forms, and an area map. .0607(d)(10) The above violations must be corrected immediately and a letter must be sent to me no later than 10-25-24 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: CPR/First Aid Training: CPR and First Aid training are crucial for staff working with children because children are naturally active and curious, putting them at a higher risk for accidents and injuries. Staff having this training allows them to respond quickly and effectively to emergencies like choking, falls, allergic reactions, or cardiac arrest, potentially saving a child's life by providing immediate care until professional medical help arrives. It was suggested to schedule CPR and First Aid training immediately when staff are hired and set a reminder on your phone/work email calendar at least one month prior to CPR and First Aid training expiring to ensure the training is completed within the required timeframe. Safe Environment: Maintaining a safe playground is crucial because it protects children from potential injuries, allows them to play freely and explore their environment without fear, and promotes their overall physical, social, and cognitive development by providing a secure space for active play; essentially, a safe playground ensures children can have fun while minimizing risks of accidents during outdoor playtime. You stated that you have reported the erosion under the turf on the playground. I contacted KinderCare’s Facilities Manager to inquire about an estimated time for repair. They assured me that they would make phone calls to start a plan of action for correcting the playground items. They stated that it would probably take more than two weeks to correct the items, however, they would be working diligently. Please keep me updated of the progress with the playground. Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip, filled out completely with the parent/guardian’s signature and date. Set a reminder to review/update medications in each classroom. You must remember the “five rights” of medication use: the right child, the right medication, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices. You and the caregivers must know what medication the parent/guardian authorized to be administered and how the parent/guardian wants medication given. If documentation is required after the medication is administered, then documentation with the required information must be completed and kept on file for six months. Having clear, detailed procedures for obtaining administered medication protects children from mistakes that can affect their health. It was suggested to reiterate in your monthly newsletter to parents that medication must accompany a permission slip and It was suggested all staff complete training on administering medications. Developmentally Appropriate Toys: Developmentally appropriate toys for infants and toddlers are crucial in the classrooms because they allow children to engage with materials that directly support their current developmental stage, fostering learning through play by stimulating cognitive, physical, social, and emotional skills. Essentially, developmentally appropriate toys provide the right tools for children to practice and master new abilities at their own pace. Remember children under three years olds need age appropriate books, blocks, dolls, pretend play materials, music toys, fine motor toys, and sensory toys. Ready to Go File: The Ready to Go File requirement is crucial because it acts as a readily accessible collection of critical information needed to quickly respond to an emergency situation, allowing staff to efficiently evacuate children, contact parents, and address specific needs during a crisis, ensuring the safety and well-being of all individuals in the facility. Your Ready to Go File notebook needs to be updated with all of the required paperwork. A Ready to Go File checklist was provided today for you to ensure required paperwork is added to your notebook. • Contact Foundations to get the Certificate of Compliance for your cribs. • A suggestion was made to keep the staff/child ratios posted inside the classroom instead of outside the classroom. If a caregiver is new and/or unfamiliar with the required staff/child ratios, they need to be in the classroom for easy reference. • 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 too some to review them due to the amount of paperwork. Papers can be reduced in your staff files and in your children’s files the paperwork required for licensing can be placed on one side for ease of review. • On staff member has a provisional letter that expires on November 9, 2024. Please check on the status to ensure that the provisional letter does not expire. • We discussed that since you are a new center director and learning the NC child care laws and rules you should use your surrounding KinderCare directors as a resource. • Your annual fire inspection is due by November 5, 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 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 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 .0605 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: AMBER TELFAIR Operation Type: Center Case Number: 0424-287A Visit Date: 4/22/2024 Number Present: 100 Completed Date: 4/22/2024 Age: From 0 To 5 Total Minutes: 110 Time In: 11:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Jo David, Director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. David. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 713 Children were allowed to play on outdoor equipment that is too hot to touch. On April 15, 2024, staff failed to ensure playground surfacing was not too hot to touch prior to allowing children to play outside. This resulted in a one-year-old child sustaining second-degree burns to both hands. 10A NCAC 09 .0605(e) You may contact me Amber Telfair, Investigations Consultant, (919) 830-7551, amber.telfair@dhhs.nc.gov or Sheronda Harris, Central Investigations Supervisor, Sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 98 Completed Date: 4/18/2024 Age: From 0 To 5 Total Minutes: 170 Time In: 10:40 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. Upon arrival, I was greeted by a staff member and she informed the assistant director, Brittany Parrish and she assisted me with the visit. I completed a walk-through of the facility. At the time of the visit, there were 98 children present ranging in age from infant to five years old. The children were observed playing outside, preparing for lunch, washing hands, eating lunch, preparing for rest time and infants were enjoying floor play and sleeping in their assigned cribs. One infant was observed eating jar baby food. Currently this center operates with five star license issued May 14, 2023. This center is in cohort two (3). The preparation year starts July 1, 2025 and the assessment year will start July 1, 2026. INSPECTIONS I reviewed required inspections including fire drills, emergency drills, and playground inspection. All reviewed inspections were found to be in compliance. MONITORING During today’s visit, a partial assessment was conducted, monitoring all space occupied by the children. All spaces were monitored for materials, equipment and required postings. I monitored for staff/child ratio, supervision, staff interactions, and space capacity. The following violations were observed and documented: Violation Number Comment Rule 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In the third classroom for infants the staff did not document sleep checks. .0606(g) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A teacher in a classroom for two-year-olds was speaking to the children in a unpleasant tone. She said “stop it, stop it, you are about to leave, so stop it”. G.S. 110-91(10) Please mail or email your letter of compliance by May 2, 2024. The letter must address each violation and describe how the violations were corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov COMPLIANCE HISTORY According to NC General Statute all Child Care programs must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Any violations documented during visits to your program may have an impact on the total compliance history score and cause your score to drop below the mandated level. **Prior to today’s visit, the compliance history score for the center was 91%. Any violations cited during today's visit may affect this percentage. TECHNICAL ASSISTANCE/CONSULTATION: **Please be sure the teachers are completing infant sleep checks in real time (as the infants are sleeping). I reviewed sleep checks in three infant rooms, and in the infant 3 classroom the sleep checks were not completed consistently. When I asked the teacher she said classroom duties were hectic but they do check the infants but just forgot to write them down. **During my walk-through I went to the playground for toddlers to observe the surfacing. Per our phone conversation yesterday, I felt the pour-in surface. When I held my hand on the surface it was warm to hot. **Each staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. During my walk-through, I observed the teacher in a classroom for two-year-olds speaking in a unpleasant tone. The children were at the sink waiting to wash their hands. The teacher said “stop it, stop it, you are about to leave, so stop it”. The teacher appeared frustrated. The children had just finished lunch and the teacher was putting out cots, guiding children to the sink, and cleaning up. I told the assistant director she may need some help and explained what I observed. CONTACT INFORMATION Should you have any questions, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor Michele Remington, Licensing Supervisor; Office: 919-819-9355 michele.remington@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: KINDERCARE AT UNC REX Facility ID: 92003872 Consultant: ELIZABETH LESTER Operation Type: Center Case Number: 0823-168L Visit Date: 8/17/2023 Number Present: 71 Completed Date: 8/17/2023 Age: From 0 To 5 Total Minutes: 305 Time In: 10:45 AM Time Out: 03:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of non-compliance with the NC Child Care Requirements. A report was received by the agency on August 10, 2023. Upon arrival, I was greeted by the temporary Assistant Director, Silvano Santander. He assisted me through out my visit. ALLEGATIONS There are concerns regarding a safe environment, staff/child ratio nurture and care. ALLEGATION #1 Safe environment OBSERVATIONS AND DISCUSSIONS -Upon arrival I explained the allegations to Mr. Santander. I completed a walk-through of the classrooms of one (1) and two (2) year olds. I observed age-appropriate furniture, toys and items. All classroom environments appeared safe. -I asked Mr. Santander about any incidents that may have occurred that resulted in a child seeking medical treatment. He explained that they recently had an incident and he provided my with the incident/accident report. I reviewed the report and the report stated that a child was pushed by another child and a child bumped into a shelf. -I interviewed two staff members. One staff member was not present in the room, but she is the lead teacher of this classroom and she helped her co-teacher and the child after the incident. She stated that the teacher saw a child push ‘a friend’ and they bumped into a shelf. I interviewed the teacher that was present at the time of the incident. She stated that she witnessed the incident. She explained that she was changing a diaper and the children were playing in centers and with toys. While scanned the room she saw a child push another child and the child fell and bumped into a wood shelf causing a cut above the child’s eye. The children were in a center playing with materials. She explained that her co-teacher was playing with the other children and was moving around the room but saw the incident. -Both teachers explained that this was accident and they completed an incident report and called the child’s parent immediately. -The other teacher who was present in the room was not available during today’s visit because she was out sick. RESOLUTION Based on my observations, review of the incident report and discussions with staff this allegation has been determined to be UNSUBSTANTIATED. ALLEGATION #2 Staff/child ratio OBSERVATIONS AND DISCUSSIONS - I completed a walk-through of the classrooms of one (1) and two (2) year olds and all classrooms were within the required staff/child ratios --I reviewed the Child Supervision Record (CSR: name-to-face) document for the following dates: 7/27, 7/28, 7/31, 8/2, 8/3, and 8/17. The staff use this document as a tracking tool, attendance and staff placement. I observed each classroom within the required staff/child ratio for each of the above dates. The administration team also review and initials the CSR documentation. RESOLUTION Based on my observations and review of the Child Supervision Record (CSR: name-to-face) document this allegation has been determined to be UNSUBSTANTIATED. ALLEGATION #3 Nurture and care OBSERVATIONS AND DISCUSSIONS -This allegation was a self-report made by the Senior District Leader of KinderCare. -I discussed the allegation with Mr. Santander and he was aware of the allegation. According to the report two staff members were using inappropriate tone and language with the children in their care. -I reviewed written statements made by staff members and interviewed two staff member. One staff member stated that she heard the teacher scream at a child while using a cuss word (f word). She stated that she reported the incident to management. She also stated that the other teacher used a cuss word (B word) in front of the children when relaying information to her. She also felt the teachers were inpatient with the children and were not sensitive to the children’s development needs. -I interviewed the other staff member and she stated that she witnessed the teachers use a negative and harsh tone during naptime. She stated that she heard the teachers say “I said go to sleep” in a very harsh tone. RESOLUTION Based on my review of staff statements and discussions this allegation has been determined to be SUBSTANTIATED. The following violation was observed and documented. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Staff members used harsh tones and inappropriate language when addressing the children. G.S. 110-91(10) Please mail or email your letter of compliance by August 31, 2023. The letter must address the violation and describe how the violation was corrected. Please send this with the following and use the addresses below: -Facility name -Facility ID number -Each item number Elizabeth Lester PO BOX 40685 Raleigh, NC 27629 Elizabeth.lester@dhhs.nc.gov TECHNICAL ASSISTANCE *****In response to these allegations the Senior District Leader terminated the staff, held a ZOOM meeting with the parents, and Mr. Santander is having a staff meeting tonight. The staff meeting’s agenda includes trust building among staff, mandate reporting ‘See something Say something’, positivity, and appropriate tones. **This center is currently under an Administrative Action written warning and this violation could affect the AA. CONTACT INFORMATION Should you have any questions or need my assistance, please contact me by phone at 919-805-6933 or email at Elizabeth.lester@dhhs.nc.gov. You can also contact my supervisor Michele Remington at 919-819-9355 or michele.remington@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.