10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: NICOLE MILLER Operation Type: Center Case Number: 0625-156A Visit Date: 6/23/2025 Number Present: 71 Completed Date: 6/23/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:30 PM Time Out: 04:15 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. Tamara Gaynor, assistant director, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Gaynor. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Although the allergy information was posted in the classroom where the food was being served, staff failed to observe the information. .0901(g) 807 A safe indoor and outdoor environment was not provided for the children. A child received medical treatment when the child was served food containing an allergen. 10A NCAC 09 .0601(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. An enrolled child with a severe allergy did not have a medical action plan for staff review in the event of an allergic reaction. .0801(b) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Staff did not provide an incident report after medical attention was received for an enrolled child. .0802(f) You may contact me, Nicole Miller, Investigations Consultant, at 919-397-8451 or Nicole.p.miller@dhhs.nc.gov. Ms. Sheronda Harris, Supervisor, may be contacted at sheronda.harris@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 12/23/2024 Number Present: 62 Completed Date: 12/23/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 10:05 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 6-8-23. The last sanitation inspection was completed on 6-24-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-27-24. 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, Erica Lynn, center director. I monitored the eight (8) 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 interacting in activity centers, running about outside on the playground, at the table making snowman with construction paper letters, and having a dance party with music. Lunch was observed being served and the children completed handwashing and toileting routines before naptime, where the children rested on mats with linens. 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. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. One child's file did not contain a medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 12-5-23 has not completed the Recognizing and Responding to Suspicions of Child Maltreatment training as required. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-6-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Recognizing and Responding to Suspension of Child Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. All staff are required to complete the training within 90 days of hire. The training may be accessed via the Positive Childhood Alliance website at https://www.preventchildabusenc.org/online-trainings/. This training is part of the Health & Safety Training requirements and shall be completed every five (5) years. Staff Annual Evaluation: An annual evaluation for childcare staff is important because it allows staff to reflect on strengths and weaknesses, set goals for personal and professional development, and improve communication between staff and management. During today’s visit five (5) effective steps to Effective, Positive, and Impactful Childcare Staff Evaluations were shared with you, along with a sample of a staff performance evaluation template. • “Mental Health Begins By Birth” is a free 6-hour (two half-days) training course on the foundations of infant and early childhood mental health, offered by the ARCh Project at the Center for Child & Family Health. The six (6) hours are divided over two half-days of content on Friday, January 31st, and Friday, February 7th, from 9:30am to 12:30pm each day (participants are asked to attend both days). This free training is available to anyone in NC whose professional work supports the relational, emotional, and mental health of babies and young children. • A suggestion was made to go back through children and staff files and remove duplicate paperwork and/or paperwork that does not have to be in the files, like copies of the summary of the child care laws and rules, blank immunization records, copies of the shaken baby policy, etc. • Please connect/link yourself, and all staff members in the criminal record check portal asap. Copies of the Automated Background Check Management System (ABCMS) Provider Codes and the Creating Connection Applications in the Automated Background Check Management System (ABCMS) flyers were provided for you today to assist with completing the tasks. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The Child Care Commission is currently in the process of drafting proposed child care rule language to begin the rulemaking process for implementing the new requirements. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. • 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 Office: 919-819-9357 bridggette.campbell@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.

GS 110-91 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 12/23/2024 Number Present: 62 Completed Date: 12/23/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 10:05 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 6-8-23. The last sanitation inspection was completed on 6-24-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-27-24. 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, Erica Lynn, center director. I monitored the eight (8) 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 interacting in activity centers, running about outside on the playground, at the table making snowman with construction paper letters, and having a dance party with music. Lunch was observed being served and the children completed handwashing and toileting routines before naptime, where the children rested on mats with linens. 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. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. One child's file did not contain a medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 12-5-23 has not completed the Recognizing and Responding to Suspicions of Child Maltreatment training as required. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-6-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Recognizing and Responding to Suspension of Child Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. All staff are required to complete the training within 90 days of hire. The training may be accessed via the Positive Childhood Alliance website at https://www.preventchildabusenc.org/online-trainings/. This training is part of the Health & Safety Training requirements and shall be completed every five (5) years. Staff Annual Evaluation: An annual evaluation for childcare staff is important because it allows staff to reflect on strengths and weaknesses, set goals for personal and professional development, and improve communication between staff and management. During today’s visit five (5) effective steps to Effective, Positive, and Impactful Childcare Staff Evaluations were shared with you, along with a sample of a staff performance evaluation template. • “Mental Health Begins By Birth” is a free 6-hour (two half-days) training course on the foundations of infant and early childhood mental health, offered by the ARCh Project at the Center for Child & Family Health. The six (6) hours are divided over two half-days of content on Friday, January 31st, and Friday, February 7th, from 9:30am to 12:30pm each day (participants are asked to attend both days). This free training is available to anyone in NC whose professional work supports the relational, emotional, and mental health of babies and young children. • A suggestion was made to go back through children and staff files and remove duplicate paperwork and/or paperwork that does not have to be in the files, like copies of the summary of the child care laws and rules, blank immunization records, copies of the shaken baby policy, etc. • Please connect/link yourself, and all staff members in the criminal record check portal asap. Copies of the Automated Background Check Management System (ABCMS) Provider Codes and the Creating Connection Applications in the Automated Background Check Management System (ABCMS) flyers were provided for you today to assist with completing the tasks. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The Child Care Commission is currently in the process of drafting proposed child care rule language to begin the rulemaking process for implementing the new requirements. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. • 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 Office: 919-819-9357 bridggette.campbell@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

NC GS 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 12/23/2024 Number Present: 62 Completed Date: 12/23/2024 Age: From 0 To 5 Total Minutes: 365 Time In: 10:05 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 6-8-23. The last sanitation inspection was completed on 6-24-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-27-24. 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, Erica Lynn, center director. I monitored the eight (8) 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 interacting in activity centers, running about outside on the playground, at the table making snowman with construction paper letters, and having a dance party with music. Lunch was observed being served and the children completed handwashing and toileting routines before naptime, where the children rested on mats with linens. 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. 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 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. One child's file did not contain a medical report. GS 110-91(1);.0302(d)(2); .0304(g) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hired on 12-5-23 has not completed the Recognizing and Responding to Suspicions of Child Maltreatment training as required. .1102(g) The above violations must be corrected immediately and a letter must be sent to me no later than 1-6-25 stating how the items were corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. The following were discussed with you during today’s visit: • Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. • Technical Assistance was provided with the following suggestions that may be beneficial: Recognizing and Responding to Suspension of Child Maltreatment: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. All staff are required to complete the training within 90 days of hire. The training may be accessed via the Positive Childhood Alliance website at https://www.preventchildabusenc.org/online-trainings/. This training is part of the Health & Safety Training requirements and shall be completed every five (5) years. Staff Annual Evaluation: An annual evaluation for childcare staff is important because it allows staff to reflect on strengths and weaknesses, set goals for personal and professional development, and improve communication between staff and management. During today’s visit five (5) effective steps to Effective, Positive, and Impactful Childcare Staff Evaluations were shared with you, along with a sample of a staff performance evaluation template. • “Mental Health Begins By Birth” is a free 6-hour (two half-days) training course on the foundations of infant and early childhood mental health, offered by the ARCh Project at the Center for Child & Family Health. The six (6) hours are divided over two half-days of content on Friday, January 31st, and Friday, February 7th, from 9:30am to 12:30pm each day (participants are asked to attend both days). This free training is available to anyone in NC whose professional work supports the relational, emotional, and mental health of babies and young children. • A suggestion was made to go back through children and staff files and remove duplicate paperwork and/or paperwork that does not have to be in the files, like copies of the summary of the child care laws and rules, blank immunization records, copies of the shaken baby policy, etc. • Please connect/link yourself, and all staff members in the criminal record check portal asap. Copies of the Automated Background Check Management System (ABCMS) Provider Codes and the Creating Connection Applications in the Automated Background Check Management System (ABCMS) flyers were provided for you today to assist with completing the tasks. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The Child Care Commission is currently in the process of drafting proposed child care rule language to begin the rulemaking process for implementing the new requirements. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. • 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 Office: 919-819-9357 bridggette.campbell@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

10A NCAC 09 .0806 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1124-046L Visit Date: 11/12/2024 Number Present: 89 Completed Date: 11/12/2024 Age: From 0 To 5 Total Minutes: 390 Time In: 10:30 AM 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, Erica Lynn, center director. This facility currently operates with a Four (4) Star License that was issued on 8-2-23. Upon arrival to the facility, I was greeted by staff, you arrived shortly afterwards. The complaint allegations regarding supervision, change of clothing, and handwashing were shared with you. In regards to supervision, it was alleged that children receive injuries with no realistic explanations. You stated that when a child received an injury to the face, the explanation provided by the staff did not coincide with the injury and that you were concerned with supervision. During the visit today, in space #11 one (1) caregiver was observed sitting in a chair filling out a lesson plan, while the other caregiver in the room was in the back of the classroom near the cubbies. The one (1) and younger two (2) year olds in the classroom were seated at the front of the classroom, at a table with no activity. The two (2) caregivers in space #11 did not observe as a child repeatedly grab at the back of the neck of another child, then as the child moved, the other child grabbed at the child’s face. The child being grabbed, never showed any signs of distress nor made any noises. The two (2) caregivers in space #11 were not adequately supervising the one (1) and younger two (2) year olds. Based on my observations and conversation with you, the allegation concerning supervision is substantiated. See violation below. In regards to the allegation concerning a change of clothing, it was alleged that a child had on a shirt and a pull-up but no pants because there was no change of clothing available. You stated that the parent was called to bring a change of clothing, and a message was sent to the parent in the KinderCare app that the child needed a change of clothing. You added that the center has a selection of extra clothing however, parents do not bring the extra clothing back to the center so they can be used again. You felt that providing the child with an oversized shirt would be sufficient until the parent could arrive with clothing. A change of clothing was not available for a child in space #5. Based on my conversation with you, the allegation concerning a change of clothing is substantiated. See violation below. In regards to the allegation concerning handwashing, it was alleged that a child’s hands were not washed when returning inside from the playground. During today’s visit children were observed coming inside from the playground. In space #11 the children came inside from the playground and scattered, moving throughout the classroom touching things. Upon entering the classroom, one caregiver started removing the trashcan liner from the trash can and after a few minutes the other caregiver started calling children to the sink for handwashing. All of the one (1) and younger two (2) year old children in space #11 did not have their hands washed upon entering the classroom. Based on my observations, the allegation concerning handwashing is substantiated. See violation below. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During the visit on 11-12-24, the two (2) caregivers in space #11 were not adequately supervising the one (1) and younger two (2) year olds as the children sat at the table, at the front of the classroom with no activity. A child was repeatedly grabbed at the neck and face while one (1) caregiver was filling out a lesson plan, and the other caregiver was standing at the back of the classroom near the cubbies. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. On 11-12-24 after coming inside from the playground, all of the one (1) and younger two (2) year old children in space #11 did not wash their hands upon entering the classroom. 15A NCAC 18A .2803(c) 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. A change of clothing was not available for a child in space #5. 10A NCAC 09 .0806(b) The above violations must be corrected immediately and a letter must be sent to me no later than 11-26-24 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: • 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: Supervision is important because caregivers must actively monitor children's safety, preventing accidents and injuries by ensuring constant vigilance, allowing for quick intervention if needed. Caregivers must create a secure environment where children can learn and play without unnecessary risks; essentially, it's the primary way to protect young children who may not fully understand potential dangers due to their developmental stage. Adequate supervision shall mean that staff interact with the children while moving about the indoor or outdoor areas and are able to always hear and see the children, except when emergencies necessitate that direct supervision is impossible for brief periods of time. Supervision was discussed in detail, along with examples of adequate supervision. A handout titled “Active Supervision at-a-Glance - SIX STRATEGIES TO KEEP CHILDREN SAFE was provided today as a resource to review with caregivers during a staff meeting. Visuals to reinforce adequate supervision were provided through showing you multiple YouTube supervision videos that can be shared and shown to caregivers during a staff meeting. Handwashing: Handwashing is crucial because young children are particularly susceptible to catching illnesses due to their underdeveloped immune systems, frequent contact with other children, sharing toys, and tendency to touch their mouths and faces. Making proper hand hygiene a primary defense against the spread of germs and infectious diseases like colds, flu, and stomach bugs, it is considered a vital part of maintaining a healthy environment for both the children and the caregivers. It was suggested to have a staff meeting to review the child care rules regarding when handwashing is required and demonstrate to the caregivers the steps to proper handwashing. Change of Clothing: Having a change of clothing at the facility is important because children can easily get messy or have accidents throughout the day and having an extra set(s) of clothes ensures they can stay comfortable and clean, avoiding discomfort, especially when changes are needed due to spills or unexpected messes. A suggestion was offered that if parents do not bring extra clothing and the center’s supply of extra clothing is depleted, then clothing must be purchased to maintain compliance. • Hold harmless Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility address on file by 11-30-24. Online payments will be due by December 31, 2024. For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. • Complete the Annual Immunization Report by 1-15-25. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until 11-30-24, and reports will be accepted until 1-15-25. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. • Please link your staff asap in the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. • 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.

NC GS 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 1124-046L Visit Date: 11/12/2024 Number Present: 89 Completed Date: 11/12/2024 Age: From 0 To 5 Total Minutes: 390 Time In: 10:30 AM 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, Erica Lynn, center director. This facility currently operates with a Four (4) Star License that was issued on 8-2-23. Upon arrival to the facility, I was greeted by staff, you arrived shortly afterwards. The complaint allegations regarding supervision, change of clothing, and handwashing were shared with you. In regards to supervision, it was alleged that children receive injuries with no realistic explanations. You stated that when a child received an injury to the face, the explanation provided by the staff did not coincide with the injury and that you were concerned with supervision. During the visit today, in space #11 one (1) caregiver was observed sitting in a chair filling out a lesson plan, while the other caregiver in the room was in the back of the classroom near the cubbies. The one (1) and younger two (2) year olds in the classroom were seated at the front of the classroom, at a table with no activity. The two (2) caregivers in space #11 did not observe as a child repeatedly grab at the back of the neck of another child, then as the child moved, the other child grabbed at the child’s face. The child being grabbed, never showed any signs of distress nor made any noises. The two (2) caregivers in space #11 were not adequately supervising the one (1) and younger two (2) year olds. Based on my observations and conversation with you, the allegation concerning supervision is substantiated. See violation below. In regards to the allegation concerning a change of clothing, it was alleged that a child had on a shirt and a pull-up but no pants because there was no change of clothing available. You stated that the parent was called to bring a change of clothing, and a message was sent to the parent in the KinderCare app that the child needed a change of clothing. You added that the center has a selection of extra clothing however, parents do not bring the extra clothing back to the center so they can be used again. You felt that providing the child with an oversized shirt would be sufficient until the parent could arrive with clothing. A change of clothing was not available for a child in space #5. Based on my conversation with you, the allegation concerning a change of clothing is substantiated. See violation below. In regards to the allegation concerning handwashing, it was alleged that a child’s hands were not washed when returning inside from the playground. During today’s visit children were observed coming inside from the playground. In space #11 the children came inside from the playground and scattered, moving throughout the classroom touching things. Upon entering the classroom, one caregiver started removing the trashcan liner from the trash can and after a few minutes the other caregiver started calling children to the sink for handwashing. All of the one (1) and younger two (2) year old children in space #11 did not have their hands washed upon entering the classroom. Based on my observations, the allegation concerning handwashing is substantiated. See violation below. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During the visit on 11-12-24, the two (2) caregivers in space #11 were not adequately supervising the one (1) and younger two (2) year olds as the children sat at the table, at the front of the classroom with no activity. A child was repeatedly grabbed at the neck and face while one (1) caregiver was filling out a lesson plan, and the other caregiver was standing at the back of the classroom near the cubbies. .1801(a)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. On 11-12-24 after coming inside from the playground, all of the one (1) and younger two (2) year old children in space #11 did not wash their hands upon entering the classroom. 15A NCAC 18A .2803(c) 803 There were no clean clothes available for the children to wear when children's clothes became wet or soiled. A change of clothing was not available for a child in space #5. 10A NCAC 09 .0806(b) The above violations must be corrected immediately and a letter must be sent to me no later than 11-26-24 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: • 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: Supervision is important because caregivers must actively monitor children's safety, preventing accidents and injuries by ensuring constant vigilance, allowing for quick intervention if needed. Caregivers must create a secure environment where children can learn and play without unnecessary risks; essentially, it's the primary way to protect young children who may not fully understand potential dangers due to their developmental stage. Adequate supervision shall mean that staff interact with the children while moving about the indoor or outdoor areas and are able to always hear and see the children, except when emergencies necessitate that direct supervision is impossible for brief periods of time. Supervision was discussed in detail, along with examples of adequate supervision. A handout titled “Active Supervision at-a-Glance - SIX STRATEGIES TO KEEP CHILDREN SAFE was provided today as a resource to review with caregivers during a staff meeting. Visuals to reinforce adequate supervision were provided through showing you multiple YouTube supervision videos that can be shared and shown to caregivers during a staff meeting. Handwashing: Handwashing is crucial because young children are particularly susceptible to catching illnesses due to their underdeveloped immune systems, frequent contact with other children, sharing toys, and tendency to touch their mouths and faces. Making proper hand hygiene a primary defense against the spread of germs and infectious diseases like colds, flu, and stomach bugs, it is considered a vital part of maintaining a healthy environment for both the children and the caregivers. It was suggested to have a staff meeting to review the child care rules regarding when handwashing is required and demonstrate to the caregivers the steps to proper handwashing. Change of Clothing: Having a change of clothing at the facility is important because children can easily get messy or have accidents throughout the day and having an extra set(s) of clothes ensures they can stay comfortable and clean, avoiding discomfort, especially when changes are needed due to spills or unexpected messes. A suggestion was offered that if parents do not bring extra clothing and the center’s supply of extra clothing is depleted, then clothing must be purchased to maintain compliance. • Hold harmless Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). • Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility address on file by 11-30-24. Online payments will be due by December 31, 2024. For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. • Complete the Annual Immunization Report by 1-15-25. The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until 11-30-24, and reports will be accepted until 1-15-25. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. • Please link your staff asap in the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 94 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 10:45 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Four (4) Star License issued on 8-2-23. The last annual compliance visit was conducted on 1-26-24. Today’s visit was conducted with you, Erica Lynn, center director. Upon arrival to the facility, you explained that you were short five (5) caregivers, due to them calling out and vacation time. You were a caregiver in the classroom for infants, so I did a walk-through of the facility monitoring the eight (8) classrooms where children were in care. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. Medications and permissions to administer medications were observed. The children completed daily activities, like circle time, singing songs, free play in activity centers, and the caregivers read books to the children. The children were served lunch and handwashing and toileting routines were completed before naptime, on mats with linens. A caring and nurturing environment was observed as the caregivers interacted with the children. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan posted in space #12 was not dated for the current week. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a crib, wrapped in a blanket. 10A NCAC 09 .0606(a) The following were discussed with you today: • Technical Assistance: • Activity plans are essential tools for caregivers, aiding in imparting knowledge, skills, and competencies. Effective activity plans help caregivers organize various teaching methods and learning outcomes for the children and also provide the framework for linking activities and themes. You stated that activity plans are supposed to be posted on Friday evening prior to closing. A suggestion was made to have a designated caregiver go around Friday evening at closing and monitor that activity plans are posted, so they will be ready on Monday morning. • The importance of following the safe sleep policy to keep infants safe was reiterated today. According to the American Academy of Pediatrics, soft bedding like blankets and pillows shouldn't be in an infant's crib. Soft items in the crib can increase the risk of suffocation, SIDS, and entrapment. Infants lack the strength to move their heads if something is blocking their breathing. A large or loose blanket could also wrap around a baby's neck and strangle them. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, the temperature of outdoor equipment, in addition look for other hazards and/or snakes. Handouts with information regarding burn safety and protecting children from thermal burns were provided today. • A suggestion was also made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal 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. 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. Ensure staff know their NCID Username and Password. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • To ensure caregivers are using the proper stand-up diapering procedure, review with the staff and post the new poster on Stand-Up Changing Procedures. 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. • You mentioned a child that had a habit of kicking the caregivers. Before considering disenrollment, please remember to contact the Healthy Social Behaviors (HSB) Project that 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. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • Please continue to work on preparing and ensuring staff education is current in WORKS. • Message from NCRLAP https://ncrlap.org/: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025, the Third Editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted in the fall of 2024 to help programs get to know the new measures and think about future assessments”. • 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 (919) 819-9357 bridggette.campbell@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.

10A NCAC 09 .0606 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 94 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 10:45 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Four (4) Star License issued on 8-2-23. The last annual compliance visit was conducted on 1-26-24. Today’s visit was conducted with you, Erica Lynn, center director. Upon arrival to the facility, you explained that you were short five (5) caregivers, due to them calling out and vacation time. You were a caregiver in the classroom for infants, so I did a walk-through of the facility monitoring the eight (8) classrooms where children were in care. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. Medications and permissions to administer medications were observed. The children completed daily activities, like circle time, singing songs, free play in activity centers, and the caregivers read books to the children. The children were served lunch and handwashing and toileting routines were completed before naptime, on mats with linens. A caring and nurturing environment was observed as the caregivers interacted with the children. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan posted in space #12 was not dated for the current week. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a crib, wrapped in a blanket. 10A NCAC 09 .0606(a) The following were discussed with you today: • Technical Assistance: • Activity plans are essential tools for caregivers, aiding in imparting knowledge, skills, and competencies. Effective activity plans help caregivers organize various teaching methods and learning outcomes for the children and also provide the framework for linking activities and themes. You stated that activity plans are supposed to be posted on Friday evening prior to closing. A suggestion was made to have a designated caregiver go around Friday evening at closing and monitor that activity plans are posted, so they will be ready on Monday morning. • The importance of following the safe sleep policy to keep infants safe was reiterated today. According to the American Academy of Pediatrics, soft bedding like blankets and pillows shouldn't be in an infant's crib. Soft items in the crib can increase the risk of suffocation, SIDS, and entrapment. Infants lack the strength to move their heads if something is blocking their breathing. A large or loose blanket could also wrap around a baby's neck and strangle them. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, the temperature of outdoor equipment, in addition look for other hazards and/or snakes. Handouts with information regarding burn safety and protecting children from thermal burns were provided today. • A suggestion was also made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal 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. 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. Ensure staff know their NCID Username and Password. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • To ensure caregivers are using the proper stand-up diapering procedure, review with the staff and post the new poster on Stand-Up Changing Procedures. 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. • You mentioned a child that had a habit of kicking the caregivers. Before considering disenrollment, please remember to contact the Healthy Social Behaviors (HSB) Project that 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. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • Please continue to work on preparing and ensuring staff education is current in WORKS. • Message from NCRLAP https://ncrlap.org/: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025, the Third Editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted in the fall of 2024 to help programs get to know the new measures and think about future assessments”. • 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 (919) 819-9357 bridggette.campbell@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

GS 110-91 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 8/26/2024 Number Present: 94 Completed Date: 8/26/2024 Age: From 0 To 5 Total Minutes: 230 Time In: 10:45 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Four (4) Star License issued on 8-2-23. The last annual compliance visit was conducted on 1-26-24. Today’s visit was conducted with you, Erica Lynn, center director. Upon arrival to the facility, you explained that you were short five (5) caregivers, due to them calling out and vacation time. You were a caregiver in the classroom for infants, so I did a walk-through of the facility monitoring the eight (8) classrooms where children were in care. Compliance with staff/child ratios, supervision, discipline, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions and various staff records documentation was monitored as a partial assessment of applicable child care requirements. Medications and permissions to administer medications were observed. The children completed daily activities, like circle time, singing songs, free play in activity centers, and the caregivers read books to the children. The children were served lunch and handwashing and toileting routines were completed before naptime, on mats with linens. A caring and nurturing environment was observed as the caregivers interacted with the children. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The lesson plan posted in space #12 was not dated for the current week. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. An infant was observed asleep in a crib, wrapped in a blanket. 10A NCAC 09 .0606(a) The following were discussed with you today: • Technical Assistance: • Activity plans are essential tools for caregivers, aiding in imparting knowledge, skills, and competencies. Effective activity plans help caregivers organize various teaching methods and learning outcomes for the children and also provide the framework for linking activities and themes. You stated that activity plans are supposed to be posted on Friday evening prior to closing. A suggestion was made to have a designated caregiver go around Friday evening at closing and monitor that activity plans are posted, so they will be ready on Monday morning. • The importance of following the safe sleep policy to keep infants safe was reiterated today. According to the American Academy of Pediatrics, soft bedding like blankets and pillows shouldn't be in an infant's crib. Soft items in the crib can increase the risk of suffocation, SIDS, and entrapment. Infants lack the strength to move their heads if something is blocking their breathing. A large or loose blanket could also wrap around a baby's neck and strangle them. • We discussed that play is an important part of a child’s development. Playing outside in the fresh air can be fun and adventurous. With careful planning and monitoring, play environments can be safe for children. There have been numerous reports of snakes on the playground in outdoor environments. Remember child care rule 10A NCAC 09 .0604 reads that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment, the temperature of outdoor equipment, in addition look for other hazards and/or snakes. Handouts with information regarding burn safety and protecting children from thermal burns were provided today. • A suggestion was also made to save the most recent child care requirements in Chapter 9 effective January 2024, to your desktop computer for easy access. As well as, bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal 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. 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. Ensure staff know their NCID Username and Password. If you need assistance, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. • To ensure caregivers are using the proper stand-up diapering procedure, review with the staff and post the new poster on Stand-Up Changing Procedures. 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. • You mentioned a child that had a habit of kicking the caregivers. Before considering disenrollment, please remember to contact the Healthy Social Behaviors (HSB) Project that 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. • Hold harmless has been extended until the new QRIS (Star Rated License System) rules are implemented (SB 425). Providers in Cohort 1 are not required to continue with a rated license assessment unless preferring to, and providers in Cohort 2 do not need to start their preparation year assessment unless preferring to move forward with an assessment. Prep year scales and assessment year scales are optional and up to your discretion at this time. • Please continue to work on preparing and ensuring staff education is current in WORKS. • Message from NCRLAP https://ncrlap.org/: “NC continues to use the Revised editions of each scale for official assessments. The Revised editions have spiral bindings on the side and not the top, so make sure to have the correct version when thinking about your next assessment. Beginning on February 1, 2025, the Third Editions of the ECERS, ITERS, and FCCERS will be used for official assessments; these scales all have a spiral binding on the top. More information about these versions will be posted in the fall of 2024 to help programs get to know the new measures and think about future assessments”. • 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 (919) 819-9357 bridggette.campbell@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

G.S. 110-91 · Violation

Name of Operation: KINDERCARE LEARNING CENTER Facility ID: 92003922 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/26/2024 Number Present: 79 Completed Date: 1/26/2024 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for an annual compliance assessment. This facility currently operates with a Four (4) Star License that was issued on 8-2-23. The last sanitation inspection was completed on 7-21-23 with a “Superior” classification. The last approved fire inspection was conducted on 8-1-23. The NC Secretary of State website was reviewed on 1-26-24 and the corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Erica Lynn, center director. I monitored the nine (9) 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. There was monitoring for compliance with implementing an approved curriculum (Early Foundations) as required for all four and five star licensed facilities where four-year-old children are enrolled. Children completed daily activities with adequate supervision. The children were observed on the carpet with the caregiver reading them a book, on the carpet doing jumping jacks and exercising, playing “ring around the rosie,” engaging in free play in activity centers, and at the table preparing for lunch. Appropriate handwashing and diapering routines were also observed. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you. New staff records, along with children’s records were reviewed today. This facility does not provide transportation. Medications and permission to administer medications was monitored. The following violations of child care requirements were observed during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided today. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The A-frame of the swings on the playground for older children contained peeling paint and rusty chains. G.S. 110-91(6); .0601(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch at the end of the slide, of the stationary play structure measured only two inches deep. The mulch under the swings measured one inch deep. .0605(k)(1-4) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 2-9-24 stating how the violations have been corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. If I do not receive your letter by 2-9-24, a return visit to your program may be made to monitor for compliance of the violations. Additional violations may be documented if the item has not been corrected or addressed. The following were discussed with you during today’s visit: • Staff hired within the past year need to complete Medications in Child Care in Moodle. • During the visit today, you messaged the District Manager, Maureen Bosman, and she confirmed that she contacted the Facilities Supervisor about the facility being painted. This will help with cosmetics as this is an older building. • The playgrounds in use need a lot of attention. You stated today that you are not using the two playgrounds that are aligned with the woods. It is strongly recommended that you remove the swings and the tall slide. The maintenance for these two structures is demanding. You stated that the Tough Timbers to enclose the 6 foot fall zone for your stationary play structure on the older children’s playground, were delivered six months ago and are just awaiting installment. Once these are installed the required surfacing can be better maintained in the fall zone. To eliminate trying to maintain six inches of fluffy mulch on the playground, you can install a poured rubber surfacing. As well, there is a puddle of standing water that has collected after the rain. The puddle is on the playground for older children, in the cul-de-sac, on the bike track. It appears there is a drainage issue. • Please register asap for the required pre-enrollment webinar https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/ to participate in the Clean Classrooms for Carolina Kids Program. 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. • Contact your Child Care Health Consultant, Latasha Hopkins, RN (919) 795-2234 latasha.hopkins@wake.gov as a resource for health and safety practices and reach out to Child Care Services Association’s Infant/Toddler Specialist as a resource for classroom management. • Please use the Health & Safety Trainings log provided for you today, to ensure that all of the required Health and Safety trainings found for free on the DCDEE Moodle website have been completed. • 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.