10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0925-052L Visit Date: 9/12/2025 Number Present: 37 Completed Date: 9/12/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Jadanka Ingram, center director. This facility operates with a Five (5) Star License issued on 4-6-24. Upon arrival to the facility, I was greeted by you, Jadanka Ingram. The allegations regarding violations of staff/child ratios, CPR certification, a safe outdoor environment and outside time were discussed with you and staff members. It was alleged that staff/child ratios are not maintained. You stated that ratios are maintained. You added that you monitor the classrooms to ensure ratios and that when needed, you and/or the assistant director go into a classroom to meet compliance with staff/child ratios. Staff members were interviewed and they indicated that staff/child are maintained and that they were not aware of any concerns with meeting staff/child ratios. The staff use the Child Supervision Record (CSR) form to document the arrival times in each classroom for themselves and the children. These forms also track name to face for monitoring supervision. The most recent weeks of CSR forms were observed today. During today’s visit staff/child ratios were observed in compliance. Based on my observations and conversations with staff, the allegation concerning staff/ratios is unsubstantiated. In regard to the allegation concerning CPR certification, it was alleged that all staff do not have CPR certification. Staff files were observed today and two staff members did not have documentation of current completion of CPR. One staff member’s CPR expired on 4-26-25 and one staff member’s CPR certificate dated 8-11-25 read “eligible for skills test within 90 days.” This indicates that the required in-person skills testing has not been completed. Based on my observations, the allegation concerning CPR is substantiated, see violation below. In regards to the allegation concerning a safe outdoor environment, it was alleged that the outdoor environment contained safety hazards on the slide and on an outside window. Today it was observed that on the outdoor playground for preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. Based on my observations, the allegation concerning a safe outdoor environment is substantiated, see violation below. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor playground for the preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 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. There were two staff members with no documentation on file of completion of a current CPR course. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One school aged child being transported from school did not have emergency information in the bus. 10A NCAC 09 .1003(d) The above violations must be corrected immediately and a letter must be sent to me no later than 9-26-25 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: • Safe Environment: Maintaining a safe outdoor environment is important because you must prioritize safety to ensure that children can grow and learn in a physically and emotionally safe environment. This includes regular inspections of the age-appropriate equipment and active supervision. By creating a safe outdoor playground environment, you can support children's development and well-being. A safe outdoor environment reduces risk of accidents and protects against hazards. It was suggested to do a daily walkthrough of the playground checking the exterior of the building and the playground equipment to ensure you intercept any hazards before the children are exposed. • CPR Certification: Staff members having current CPR certification is important because children are more vulnerable to choking, stop breathing, or suffer cardiac arrest due to accidents, allergic reactions, or medical conditions. CPR trained staff can respond immediately. As well time is critical, brain damage can begin within minutes of oxygen deprivation. Quickly administering CPR can mean the difference between life and death. It was suggested to log on a spreadsheet all of the dates for your staff’s CPR/First Aid certification due dates so you can monitor them closely and schedule CPR training at least one month prior to the expiration date. Set an alarm and mark your calendar for a reminder to monitor the spreadsheet. • Emergency Information: When transporting children, emergency information on the bus is important because quick access to vital information is important so staff can immediately reference children’s emergency information. It facilitates fast communication to make immediate contact with parents or guardians. Attaching a child’s photo supports first responders in case of an accident or emergency, having photos and details helps paramedics or police identify and care for children swiftly. It was suggested to staple the child’s photo to the child’s emergency information. When a child enrolls needing transportation, immediately take a photo of the child, copy their emergency information, attach the photo and place it in your van notebook. Before transporting children look in the van notebook to ensure there is identifying and emergency information for each child being transported. • A follow up visit will be conducted in the near future. 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.

10A NCAC 09 .1003 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0925-052L Visit Date: 9/12/2025 Number Present: 37 Completed Date: 9/12/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Jadanka Ingram, center director. This facility operates with a Five (5) Star License issued on 4-6-24. Upon arrival to the facility, I was greeted by you, Jadanka Ingram. The allegations regarding violations of staff/child ratios, CPR certification, a safe outdoor environment and outside time were discussed with you and staff members. It was alleged that staff/child ratios are not maintained. You stated that ratios are maintained. You added that you monitor the classrooms to ensure ratios and that when needed, you and/or the assistant director go into a classroom to meet compliance with staff/child ratios. Staff members were interviewed and they indicated that staff/child are maintained and that they were not aware of any concerns with meeting staff/child ratios. The staff use the Child Supervision Record (CSR) form to document the arrival times in each classroom for themselves and the children. These forms also track name to face for monitoring supervision. The most recent weeks of CSR forms were observed today. During today’s visit staff/child ratios were observed in compliance. Based on my observations and conversations with staff, the allegation concerning staff/ratios is unsubstantiated. In regard to the allegation concerning CPR certification, it was alleged that all staff do not have CPR certification. Staff files were observed today and two staff members did not have documentation of current completion of CPR. One staff member’s CPR expired on 4-26-25 and one staff member’s CPR certificate dated 8-11-25 read “eligible for skills test within 90 days.” This indicates that the required in-person skills testing has not been completed. Based on my observations, the allegation concerning CPR is substantiated, see violation below. In regards to the allegation concerning a safe outdoor environment, it was alleged that the outdoor environment contained safety hazards on the slide and on an outside window. Today it was observed that on the outdoor playground for preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. Based on my observations, the allegation concerning a safe outdoor environment is substantiated, see violation below. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor playground for the preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 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. There were two staff members with no documentation on file of completion of a current CPR course. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One school aged child being transported from school did not have emergency information in the bus. 10A NCAC 09 .1003(d) The above violations must be corrected immediately and a letter must be sent to me no later than 9-26-25 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: • Safe Environment: Maintaining a safe outdoor environment is important because you must prioritize safety to ensure that children can grow and learn in a physically and emotionally safe environment. This includes regular inspections of the age-appropriate equipment and active supervision. By creating a safe outdoor playground environment, you can support children's development and well-being. A safe outdoor environment reduces risk of accidents and protects against hazards. It was suggested to do a daily walkthrough of the playground checking the exterior of the building and the playground equipment to ensure you intercept any hazards before the children are exposed. • CPR Certification: Staff members having current CPR certification is important because children are more vulnerable to choking, stop breathing, or suffer cardiac arrest due to accidents, allergic reactions, or medical conditions. CPR trained staff can respond immediately. As well time is critical, brain damage can begin within minutes of oxygen deprivation. Quickly administering CPR can mean the difference between life and death. It was suggested to log on a spreadsheet all of the dates for your staff’s CPR/First Aid certification due dates so you can monitor them closely and schedule CPR training at least one month prior to the expiration date. Set an alarm and mark your calendar for a reminder to monitor the spreadsheet. • Emergency Information: When transporting children, emergency information on the bus is important because quick access to vital information is important so staff can immediately reference children’s emergency information. It facilitates fast communication to make immediate contact with parents or guardians. Attaching a child’s photo supports first responders in case of an accident or emergency, having photos and details helps paramedics or police identify and care for children swiftly. It was suggested to staple the child’s photo to the child’s emergency information. When a child enrolls needing transportation, immediately take a photo of the child, copy their emergency information, attach the photo and place it in your van notebook. Before transporting children look in the van notebook to ensure there is identifying and emergency information for each child being transported. • A follow up visit will be conducted in the near future. 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 LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0925-052L Visit Date: 9/12/2025 Number Present: 37 Completed Date: 9/12/2025 Age: From 0 To 6 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Jadanka Ingram, center director. This facility operates with a Five (5) Star License issued on 4-6-24. Upon arrival to the facility, I was greeted by you, Jadanka Ingram. The allegations regarding violations of staff/child ratios, CPR certification, a safe outdoor environment and outside time were discussed with you and staff members. It was alleged that staff/child ratios are not maintained. You stated that ratios are maintained. You added that you monitor the classrooms to ensure ratios and that when needed, you and/or the assistant director go into a classroom to meet compliance with staff/child ratios. Staff members were interviewed and they indicated that staff/child are maintained and that they were not aware of any concerns with meeting staff/child ratios. The staff use the Child Supervision Record (CSR) form to document the arrival times in each classroom for themselves and the children. These forms also track name to face for monitoring supervision. The most recent weeks of CSR forms were observed today. During today’s visit staff/child ratios were observed in compliance. Based on my observations and conversations with staff, the allegation concerning staff/ratios is unsubstantiated. In regard to the allegation concerning CPR certification, it was alleged that all staff do not have CPR certification. Staff files were observed today and two staff members did not have documentation of current completion of CPR. One staff member’s CPR expired on 4-26-25 and one staff member’s CPR certificate dated 8-11-25 read “eligible for skills test within 90 days.” This indicates that the required in-person skills testing has not been completed. Based on my observations, the allegation concerning CPR is substantiated, see violation below. In regards to the allegation concerning a safe outdoor environment, it was alleged that the outdoor environment contained safety hazards on the slide and on an outside window. Today it was observed that on the outdoor playground for preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. Based on my observations, the allegation concerning a safe outdoor environment is substantiated, see violation below. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor playground for the preschoolers, the blue slide contained a slight vertical gap where the slide connects to the upper platform of the stationary play structure. The exterior window of space #4, contained a metal grate that was cracked exposing sharp edges. 10A NCAC 09 .0601(a) 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. There were two staff members with no documentation on file of completion of a current CPR course. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One school aged child being transported from school did not have emergency information in the bus. 10A NCAC 09 .1003(d) The above violations must be corrected immediately and a letter must be sent to me no later than 9-26-25 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: • Safe Environment: Maintaining a safe outdoor environment is important because you must prioritize safety to ensure that children can grow and learn in a physically and emotionally safe environment. This includes regular inspections of the age-appropriate equipment and active supervision. By creating a safe outdoor playground environment, you can support children's development and well-being. A safe outdoor environment reduces risk of accidents and protects against hazards. It was suggested to do a daily walkthrough of the playground checking the exterior of the building and the playground equipment to ensure you intercept any hazards before the children are exposed. • CPR Certification: Staff members having current CPR certification is important because children are more vulnerable to choking, stop breathing, or suffer cardiac arrest due to accidents, allergic reactions, or medical conditions. CPR trained staff can respond immediately. As well time is critical, brain damage can begin within minutes of oxygen deprivation. Quickly administering CPR can mean the difference between life and death. It was suggested to log on a spreadsheet all of the dates for your staff’s CPR/First Aid certification due dates so you can monitor them closely and schedule CPR training at least one month prior to the expiration date. Set an alarm and mark your calendar for a reminder to monitor the spreadsheet. • Emergency Information: When transporting children, emergency information on the bus is important because quick access to vital information is important so staff can immediately reference children’s emergency information. It facilitates fast communication to make immediate contact with parents or guardians. Attaching a child’s photo supports first responders in case of an accident or emergency, having photos and details helps paramedics or police identify and care for children swiftly. It was suggested to staple the child’s photo to the child’s emergency information. When a child enrolls needing transportation, immediately take a photo of the child, copy their emergency information, attach the photo and place it in your van notebook. Before transporting children look in the van notebook to ensure there is identifying and emergency information for each child being transported. • A follow up visit will be conducted in the near future. Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell 2201 Mail Service Center Raleigh, NC 27699-2200 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0425-332L Visit Date: 5/20/2025 Number Present: 52 Completed Date: 5/20/2015 Age: From 0 To 5 Total Minutes: 155 Time In: 02:45 PM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on the complaint visit conducted on 5-6-25. This facility currently operates with a Five (5) Star License that was issued on 4-6-24. Today’s visit was conducted with you, Jadanka Ingram, new center director. Upon arrival to the facility, I was greeted by you. All five (5) classrooms were monitored for compliance with staff/child ratios, supervision, space requirements and permit restrictions. The children were observed engaged in activity centers and completing toileting and handwashing routines. During today’s visit staff/child ratios were observed being maintained as required. The following violation of child care requirements was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #5 the two flood lights attached to the exit light were dangling from two wires. 10A NCAC 09 .0601(a) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 6-3-25 stating how the violation has 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. 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: Safety Hazard: A hazard is anything that could cause harm or have a negative impact, such as broken or dangerous furnishings and equipment. At a child care facility the main consideration for risk management is the protection of children and staff. Identifying and assessing potential hazards is crucial to ensure that environments are safe and nurturing for all children. All staff are required to conduct regular assessments which identify aspects of the environment on a regular basis. By doing so, staff must consider the potential dangers and take necessary precautions to prevent accidents and injuries. When hazards such as the exit light in poor repair are found, they must report these items immediately to management so they can be repaired and a plan put in place to ensure the safety of the children and staff. It was suggested to have a staff meeting and remind staff to be observant and report hazards in the indoor and outdoor environment. • Please complete and return the Pre-Service Requirements for Administrators form and have your district leader sign it asap. • You explained that management understands the importance of maintaining the required staff/child ratios because they are essential for ensuring the safety, well-being, and individualized attention that every child deserves. Today you provided a letter of compliance, the “Ratio and Active Supervision Matters Training Acknowledgment” signed staff statements from your one-on-one staff meetings/trainings held on 5-14 and 5-15-2024, the newly adopted walkie-talkie policy signed staff statements, the “Room at Maximum Capacity STOP Sign, and the signed coaching form where the staff member in the room that was not in ratio received formal action. During today’s visit I observed the signed “Ratio and Active Supervision Matters Training Acknowledgment” indicating that all 14 staff members (one staff is on medical leave) completed training from the Virtual Schools “Ensuring Staff-To-Child Ratios Are Followed At All Times” training and the KinderCare “Child Teacher Ratio” training and that they will not allow any additional children in their classrooms once they have met capacity. The signed statements also indicated that failure to maintain the required ratios will lead to a written coach form up to and including termination. As well, I observed the adopted new Walkie-Talkie Policy that was signed by all 14 staff members which was discussed during the one-on-one staff meetings. The Walkie-Talkie Policy states staff will use the walkie-talkie when they are in need from management or another staff member for such times as to assist with meeting ratios or if a staff member needs to leave the classroom. The walkie-talkies will now be used to alert management when the classroom reaches one child from the ratio max for one teacher. A member of management will immediately step in the classroom until the second caregiver arrives. Staff signed acknowledgement that failure to adhere to the walkie-talkie policy will lead to a written coach form up to and including termination. You added that since the visit on 5-6-25 in addition to the one-on-one staff meetings, trainings, and adoption of the new policies/procedures you have implemented the following to ensure staff/child ratios are in compliance: • Communication with Parents: Once a classroom is at staff/child ratio/capacity staff will place the newly created “Room at Maximum Capacity STOP Please see Administrator” sign to be posted on the classroom door. The signs were observed during today’s visit. • Administrative Support Team: There is a new schedule for additional administrative support with on-site hours to ensure compliance with staff/child ratios: Jadanka Ingram (Center Director) will be on-site from 7 am-6 pm, Katrina Williams (Support Center Director) 8 am-2 pm, Tonya Pleasant (Assistant Director) 9 am-6 pm, and Erika White (District Leader) every Thursday from 9 am-2 pm. • Real-time Ratio Monitoring: Staff must also complete the KinderCare Child Supervision Record (CSR) Name-to-Face document recording the time the child enters the classroom and at intervals; 8am, 10am, 12pm, 2pm, 4pm, 5pm and 6pm. As well they must document on the CSRs transitions with a face-to-name check. During today’s visit staff were observed completing the CSRs. • Regular Classroom Monitoring: Both the Center Director and Assistant Director will conduct classroom ratio checks and monitoring of the CSRs every 30 minutes to ensure compliance and address any issues. • CSR Training: To further ensure staff understand documenting children’s attendance to maintain ratios on the KinderCare Child Supervision Record (CSR) Name-to-Face sheet, a “Child Supervision Record Name-to-Face” training has been scheduled with the District’s Trainer during a mandatory staff meeting on 5-27-25 at 6:00pm. • Updated Staff Scheduling: Children’s arrival times were reviewed for each classroom and staff schedules were adjusted. One staff member is arriving thirty (30) minutes earlier than previously scheduled and another staff member is arriving fifteen (15) minutes earlier. • Staffing: Two (2) new staff members have been hired and two (2) interviews have been conducted. A hiring recruiter has been assigned and ads placed on Indeed to assist with seeking additional staff to help maintain ratios. If additional staff are needed, management will contact the surrounding KinderCares to request staff. • Halted Enrollment: Management decided to stop enrollment until two (2) to (3) additional staff have been hired and adequately trained. • 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 CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0425-332L Visit Date: 5/20/2025 Number Present: 52 Completed Date: 5/20/2015 Age: From 0 To 5 Total Minutes: 155 Time In: 02:45 PM Time Out: 05:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow-up on the complaint visit conducted on 5-6-25. This facility currently operates with a Five (5) Star License that was issued on 4-6-24. Today’s visit was conducted with you, Jadanka Ingram, new center director. Upon arrival to the facility, I was greeted by you. All five (5) classrooms were monitored for compliance with staff/child ratios, supervision, space requirements and permit restrictions. The children were observed engaged in activity centers and completing toileting and handwashing routines. During today’s visit staff/child ratios were observed being maintained as required. The following violation of child care requirements was cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #5 the two flood lights attached to the exit light were dangling from two wires. 10A NCAC 09 .0601(a) The above violation must be corrected immediately and a corrective action letter must be sent to me no later than 6-3-25 stating how the violation has 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. 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: Safety Hazard: A hazard is anything that could cause harm or have a negative impact, such as broken or dangerous furnishings and equipment. At a child care facility the main consideration for risk management is the protection of children and staff. Identifying and assessing potential hazards is crucial to ensure that environments are safe and nurturing for all children. All staff are required to conduct regular assessments which identify aspects of the environment on a regular basis. By doing so, staff must consider the potential dangers and take necessary precautions to prevent accidents and injuries. When hazards such as the exit light in poor repair are found, they must report these items immediately to management so they can be repaired and a plan put in place to ensure the safety of the children and staff. It was suggested to have a staff meeting and remind staff to be observant and report hazards in the indoor and outdoor environment. • Please complete and return the Pre-Service Requirements for Administrators form and have your district leader sign it asap. • You explained that management understands the importance of maintaining the required staff/child ratios because they are essential for ensuring the safety, well-being, and individualized attention that every child deserves. Today you provided a letter of compliance, the “Ratio and Active Supervision Matters Training Acknowledgment” signed staff statements from your one-on-one staff meetings/trainings held on 5-14 and 5-15-2024, the newly adopted walkie-talkie policy signed staff statements, the “Room at Maximum Capacity STOP Sign, and the signed coaching form where the staff member in the room that was not in ratio received formal action. During today’s visit I observed the signed “Ratio and Active Supervision Matters Training Acknowledgment” indicating that all 14 staff members (one staff is on medical leave) completed training from the Virtual Schools “Ensuring Staff-To-Child Ratios Are Followed At All Times” training and the KinderCare “Child Teacher Ratio” training and that they will not allow any additional children in their classrooms once they have met capacity. The signed statements also indicated that failure to maintain the required ratios will lead to a written coach form up to and including termination. As well, I observed the adopted new Walkie-Talkie Policy that was signed by all 14 staff members which was discussed during the one-on-one staff meetings. The Walkie-Talkie Policy states staff will use the walkie-talkie when they are in need from management or another staff member for such times as to assist with meeting ratios or if a staff member needs to leave the classroom. The walkie-talkies will now be used to alert management when the classroom reaches one child from the ratio max for one teacher. A member of management will immediately step in the classroom until the second caregiver arrives. Staff signed acknowledgement that failure to adhere to the walkie-talkie policy will lead to a written coach form up to and including termination. You added that since the visit on 5-6-25 in addition to the one-on-one staff meetings, trainings, and adoption of the new policies/procedures you have implemented the following to ensure staff/child ratios are in compliance: • Communication with Parents: Once a classroom is at staff/child ratio/capacity staff will place the newly created “Room at Maximum Capacity STOP Please see Administrator” sign to be posted on the classroom door. The signs were observed during today’s visit. • Administrative Support Team: There is a new schedule for additional administrative support with on-site hours to ensure compliance with staff/child ratios: Jadanka Ingram (Center Director) will be on-site from 7 am-6 pm, Katrina Williams (Support Center Director) 8 am-2 pm, Tonya Pleasant (Assistant Director) 9 am-6 pm, and Erika White (District Leader) every Thursday from 9 am-2 pm. • Real-time Ratio Monitoring: Staff must also complete the KinderCare Child Supervision Record (CSR) Name-to-Face document recording the time the child enters the classroom and at intervals; 8am, 10am, 12pm, 2pm, 4pm, 5pm and 6pm. As well they must document on the CSRs transitions with a face-to-name check. During today’s visit staff were observed completing the CSRs. • Regular Classroom Monitoring: Both the Center Director and Assistant Director will conduct classroom ratio checks and monitoring of the CSRs every 30 minutes to ensure compliance and address any issues. • CSR Training: To further ensure staff understand documenting children’s attendance to maintain ratios on the KinderCare Child Supervision Record (CSR) Name-to-Face sheet, a “Child Supervision Record Name-to-Face” training has been scheduled with the District’s Trainer during a mandatory staff meeting on 5-27-25 at 6:00pm. • Updated Staff Scheduling: Children’s arrival times were reviewed for each classroom and staff schedules were adjusted. One staff member is arriving thirty (30) minutes earlier than previously scheduled and another staff member is arriving fifteen (15) minutes earlier. • Staffing: Two (2) new staff members have been hired and two (2) interviews have been conducted. A hiring recruiter has been assigned and ads placed on Indeed to assist with seeking additional staff to help maintain ratios. If additional staff are needed, management will contact the surrounding KinderCares to request staff. • Halted Enrollment: Management decided to stop enrollment until two (2) to (3) additional staff have been hired and adequately trained. • 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 .2818 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0425-332L Visit Date: 5/6/2025 Number Present: 48 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 08:00 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Katrina Williams, center director (at another KinderCare facility). This facility operates with a Five (5) Star License issued on 4-6-24. Upon arrival to the facility, I was greeted by you. You proceeded to introduce me to this facility’s new center director, Jadanka Ingram. The allegation regarding staff/child ratios was discussed. It was alleged that during the early morning hours between 7:00am and 7:30am there are at least fifteen (15) children of all ages in one (1) classroom with one (1) caregiver. You stated that there are only a few children present before 7:30am. You explained that children typically slowly trickle in and the number of children being dropped off doesn’t increase until later in the morning. You provided print outs of arrival and departure times for the children and it was observed that daily there are approximately ten (10) children present between 7:00am and 7:30am. There are three (3) caregivers that arrive at 7:00am and they are assigned to three (3) classrooms where children are dropped off each morning. It appears that staff/child ratios are maintained during early morning hours, however it was corroborated by staff that staff/child ratios are not always maintained in space #5. The most recent incident of noncompliance occurred on 5-1-25 at approximately 9:00am where there were fifteen (15) two (2) year olds in space #5 with one (1) caregiver. During today’s visit staff/child ratios were observed in compliance. Based on my conversation with staff, the allegation concerning staff/ratios is substantiated. See violation below. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On 5-1-2025 at approximately 9:00am, there were fifteen (15) 2 year olds in space #5 with one (1) caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a letter must be sent to me no later than 5-20-25 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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/child ratios play an important role in supporting the overall quality and educational outcomes in child care facilities. As a result, staff/child ratios have been written into the rules to help ensure children’s safety and wellbeing. You and Ms. Ingram explained that a new assistant director will transfer to this facility and that a plan to ensure compliance is being developed to improve the facility’s overall operations. Please revisit your staff schedules to see if changes can be made to accommodate the times when parents drop off in the mornings. A suggestion was made to schedule a mandatory staff meeting to provide training and reiterate the importance of maintaining staff/child ratios. • Ms. Ingram needs to complete and return the Preservice Requirements for Administrators form left with you today. • A follow-up visit will be conducted in the near future to monitor for compliance. • 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: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: 0425-332L Visit Date: 5/6/2025 Number Present: 48 Completed Date: 5/6/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 08:00 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of non-compliance with child care requirements. Today’s visit was conducted with you, Katrina Williams, center director (at another KinderCare facility). This facility operates with a Five (5) Star License issued on 4-6-24. Upon arrival to the facility, I was greeted by you. You proceeded to introduce me to this facility’s new center director, Jadanka Ingram. The allegation regarding staff/child ratios was discussed. It was alleged that during the early morning hours between 7:00am and 7:30am there are at least fifteen (15) children of all ages in one (1) classroom with one (1) caregiver. You stated that there are only a few children present before 7:30am. You explained that children typically slowly trickle in and the number of children being dropped off doesn’t increase until later in the morning. You provided print outs of arrival and departure times for the children and it was observed that daily there are approximately ten (10) children present between 7:00am and 7:30am. There are three (3) caregivers that arrive at 7:00am and they are assigned to three (3) classrooms where children are dropped off each morning. It appears that staff/child ratios are maintained during early morning hours, however it was corroborated by staff that staff/child ratios are not always maintained in space #5. The most recent incident of noncompliance occurred on 5-1-25 at approximately 9:00am where there were fifteen (15) two (2) year olds in space #5 with one (1) caregiver. During today’s visit staff/child ratios were observed in compliance. Based on my conversation with staff, the allegation concerning staff/ratios is substantiated. See violation below. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. On 5-1-2025 at approximately 9:00am, there were fifteen (15) 2 year olds in space #5 with one (1) caregiver. 10A NCAC 09 .2818 The above violation must be corrected immediately and a letter must be sent to me no later than 5-20-25 stating how the item was corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a correction letter can be emailed to: bridggette.campbell@dhhs.nc.gov. 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/child ratios play an important role in supporting the overall quality and educational outcomes in child care facilities. As a result, staff/child ratios have been written into the rules to help ensure children’s safety and wellbeing. You and Ms. Ingram explained that a new assistant director will transfer to this facility and that a plan to ensure compliance is being developed to improve the facility’s overall operations. Please revisit your staff schedules to see if changes can be made to accommodate the times when parents drop off in the mornings. A suggestion was made to schedule a mandatory staff meeting to provide training and reiterate the importance of maintaining staff/child ratios. • Ms. Ingram needs to complete and return the Preservice Requirements for Administrators form left with you today. • A follow-up visit will be conducted in the near future to monitor for compliance. • 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

10A NCAC 09 .0802 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 54 Completed Date: 1/29/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 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 4-6-24. The last sanitation inspection was completed on 6-17-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-26-24. 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, Darrah James, assistant director. I monitored the seven (7) 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 in circle time where a caregiver was reading a book to the children, the children were observed singing songs on the carpet, completing toileting and handwashing routines, engaged with manipulatives at the table, and observed outside on the playground running about, riding trikes, and playing basketball. 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. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Auvi-Q to one child expired on 1-15-25. Permission to administer Albuterol expired on 11-28-24. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. The incident log had not been updated since 11-1-24. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated with names of staff currently employed. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not available that 16 hours of orientation was completed for two staff members. .1101(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The allergy action plan for one child dated 11-28-23 had not been updated. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 2-12-25 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: 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. Contact your Child Care Health Consultant, Latasha Hopkins (919) 795-2234 latasha.hopkins@wake.gov to schedule training on medications. Orientation: Orientation for staff members is important because it helps them understand their roles, responsibilities, and the safety protocols within the child care center. It ensures that staff are well-prepared and knowledgeable about the specific requirements and challenges of child care work. It was suggested to calculate the total numbers of hours that each topic listed on the orientation form with take to review with staff. Record those hours on the orientation form for each topic, keeping in mind the total of 6 hours within the first 2 weeks of employment and 10 hours within the next 4 weeks of employment. Make copies of the orientation form with the hours recorded and use this pre-filled orientation form to ensure the orientation hours are completed. Upon employment for each new hire, mark on your calendar the first two weeks of employment and the next 4 weeks of employment to ensure orientation is completed within the required timeframe. Emergency Medical Care Plan: The required posted Emergency Medical Care Plan is important because it displays responsible staff to complete tasks during emergency situations, as well as it lists emergency telephone numbers and staff who have completed CPR and First Aid. You must ensure that when staff are no longer employed their names are removed from the Emergency Medical Care Plan and replaced with staff that can complete the tasks in an emergency situation. Incident Log: Maintaining the required incident log will foster open communication and transparency, fulfill legal and compliance requirements, improve risk management, support continuous professional development, and help prevent future incidents. Create a habit of recording the incident in the incident log on the same day of the incident, before the close of the business day. Medical Action Plans: Medical action plans are important to be completed by parents because they outline what a child needs to manage their medical condition during the day and what steps to take in emergencies. Medical action plans keep children safe by providing written information about their medical conditions and specific directions for staff to follow and the medical action plan ensure that medical management and risk minimization plans are in place for every child with a diagnosed medical care need or allergy. Remind staff that any allergy, asthma, seizure, or diabetes medication should accompany a completed medical action plan and the action plan must be updated annually. Set reminders often to check medications for the required medical action plans. • Submit your completed staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • A fire drill must be conducted before 2-1-2025. • Your children’s files are thick with a lot of paperwork. Today we reviewed the paperwork required and that if that paperwork could be placed in the front or back of the file for ease of review. • It is recommended that parents bring their children’s physical examinations on the Children’s Medial Report form provided by the Division of Child Development and Early Education as it provides a place for the physician’s signature and the parents to fill in the children’s medical history. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 54 Completed Date: 1/29/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 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 4-6-24. The last sanitation inspection was completed on 6-17-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-26-24. 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, Darrah James, assistant director. I monitored the seven (7) 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 in circle time where a caregiver was reading a book to the children, the children were observed singing songs on the carpet, completing toileting and handwashing routines, engaged with manipulatives at the table, and observed outside on the playground running about, riding trikes, and playing basketball. 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. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Auvi-Q to one child expired on 1-15-25. Permission to administer Albuterol expired on 11-28-24. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. The incident log had not been updated since 11-1-24. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated with names of staff currently employed. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not available that 16 hours of orientation was completed for two staff members. .1101(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The allergy action plan for one child dated 11-28-23 had not been updated. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 2-12-25 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: 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. Contact your Child Care Health Consultant, Latasha Hopkins (919) 795-2234 latasha.hopkins@wake.gov to schedule training on medications. Orientation: Orientation for staff members is important because it helps them understand their roles, responsibilities, and the safety protocols within the child care center. It ensures that staff are well-prepared and knowledgeable about the specific requirements and challenges of child care work. It was suggested to calculate the total numbers of hours that each topic listed on the orientation form with take to review with staff. Record those hours on the orientation form for each topic, keeping in mind the total of 6 hours within the first 2 weeks of employment and 10 hours within the next 4 weeks of employment. Make copies of the orientation form with the hours recorded and use this pre-filled orientation form to ensure the orientation hours are completed. Upon employment for each new hire, mark on your calendar the first two weeks of employment and the next 4 weeks of employment to ensure orientation is completed within the required timeframe. Emergency Medical Care Plan: The required posted Emergency Medical Care Plan is important because it displays responsible staff to complete tasks during emergency situations, as well as it lists emergency telephone numbers and staff who have completed CPR and First Aid. You must ensure that when staff are no longer employed their names are removed from the Emergency Medical Care Plan and replaced with staff that can complete the tasks in an emergency situation. Incident Log: Maintaining the required incident log will foster open communication and transparency, fulfill legal and compliance requirements, improve risk management, support continuous professional development, and help prevent future incidents. Create a habit of recording the incident in the incident log on the same day of the incident, before the close of the business day. Medical Action Plans: Medical action plans are important to be completed by parents because they outline what a child needs to manage their medical condition during the day and what steps to take in emergencies. Medical action plans keep children safe by providing written information about their medical conditions and specific directions for staff to follow and the medical action plan ensure that medical management and risk minimization plans are in place for every child with a diagnosed medical care need or allergy. Remind staff that any allergy, asthma, seizure, or diabetes medication should accompany a completed medical action plan and the action plan must be updated annually. Set reminders often to check medications for the required medical action plans. • Submit your completed staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • A fire drill must be conducted before 2-1-2025. • Your children’s files are thick with a lot of paperwork. Today we reviewed the paperwork required and that if that paperwork could be placed in the front or back of the file for ease of review. • It is recommended that parents bring their children’s physical examinations on the Children’s Medial Report form provided by the Division of Child Development and Early Education as it provides a place for the physician’s signature and the parents to fill in the children’s medical history. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 54 Completed Date: 1/29/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 10:30 AM Time Out: 04:00 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 4-6-24. The last sanitation inspection was completed on 6-17-24 with an “Superior” classification. The last approved fire inspection was conducted on 8-26-24. 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, Darrah James, assistant director. I monitored the seven (7) 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 in circle time where a caregiver was reading a book to the children, the children were observed singing songs on the carpet, completing toileting and handwashing routines, engaged with manipulatives at the table, and observed outside on the playground running about, riding trikes, and playing basketball. 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. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Permission to administer Auvi-Q to one child expired on 1-15-25. Permission to administer Albuterol expired on 11-28-24. 10A NCAC 09 .0803(1)(a & b) 853 Incident logs were not completed and maintained as required. The incident log had not been updated since 11-1-24. .0802(g)(1-6) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC Plan was not updated with names of staff currently employed. 10A NCAC 09 .0802(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation was not available that 16 hours of orientation was completed for two staff members. .1101(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The allergy action plan for one child dated 11-28-23 had not been updated. .0801(b) The above violations must be corrected immediately and a letter must be sent to me no later than 2-12-25 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: 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. Contact your Child Care Health Consultant, Latasha Hopkins (919) 795-2234 latasha.hopkins@wake.gov to schedule training on medications. Orientation: Orientation for staff members is important because it helps them understand their roles, responsibilities, and the safety protocols within the child care center. It ensures that staff are well-prepared and knowledgeable about the specific requirements and challenges of child care work. It was suggested to calculate the total numbers of hours that each topic listed on the orientation form with take to review with staff. Record those hours on the orientation form for each topic, keeping in mind the total of 6 hours within the first 2 weeks of employment and 10 hours within the next 4 weeks of employment. Make copies of the orientation form with the hours recorded and use this pre-filled orientation form to ensure the orientation hours are completed. Upon employment for each new hire, mark on your calendar the first two weeks of employment and the next 4 weeks of employment to ensure orientation is completed within the required timeframe. Emergency Medical Care Plan: The required posted Emergency Medical Care Plan is important because it displays responsible staff to complete tasks during emergency situations, as well as it lists emergency telephone numbers and staff who have completed CPR and First Aid. You must ensure that when staff are no longer employed their names are removed from the Emergency Medical Care Plan and replaced with staff that can complete the tasks in an emergency situation. Incident Log: Maintaining the required incident log will foster open communication and transparency, fulfill legal and compliance requirements, improve risk management, support continuous professional development, and help prevent future incidents. Create a habit of recording the incident in the incident log on the same day of the incident, before the close of the business day. Medical Action Plans: Medical action plans are important to be completed by parents because they outline what a child needs to manage their medical condition during the day and what steps to take in emergencies. Medical action plans keep children safe by providing written information about their medical conditions and specific directions for staff to follow and the medical action plan ensure that medical management and risk minimization plans are in place for every child with a diagnosed medical care need or allergy. Remind staff that any allergy, asthma, seizure, or diabetes medication should accompany a completed medical action plan and the action plan must be updated annually. Set reminders often to check medications for the required medical action plans. • Submit your completed staff/training worksheets asap. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective November 1, 2024, to your desktop computer for easy access. As well as bookmark the Division of Child Development and Early Education on your computer for access to valuable resources like, the criminal background check link, forms and documents, what’s new, etc. • Please connect/link you and your staff in the criminal record check portal asap. Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. A handout titled Creating Connecting Applications in the Automated Background Check Management System (ABCMS) was provided today that provides instructions for connecting/linking you and your staff. ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you need assistance with your NCID, please reach out to the NCID Help Desk at 919-754-6000 or 800-722-3946, or visit https://it.nc.gov/support/ncid/reset-password-unlock-account. If you need assistance, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov . • A fire drill must be conducted before 2-1-2025. • Your children’s files are thick with a lot of paperwork. Today we reviewed the paperwork required and that if that paperwork could be placed in the front or back of the file for ease of review. • It is recommended that parents bring their children’s physical examinations on the Children’s Medial Report form provided by the Division of Child Development and Early Education as it provides a place for the physician’s signature and the parents to fill in the children’s medical history. • Your Ready to Go File contained old applications of children no longer enrolled. Please review your paperwork in the Ready to Go File and remove any children and staff emergency information if they are no longer enrolled or employed. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any further questions or concerns, please contact me. Bridggette Campbell PO BOX 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 71 Completed Date: 9/6/2024 Age: From 0 To 4 Total Minutes: 220 Time In: 11:00 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star License issued on 4-6-24. The last annual compliance visit was conducted on 3 -14-24. Today’s visit was conducted with you, Lavonne Evans, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the eight (8) classrooms where children were in care was completed. 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. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in circle time as the caregiver read a book to the children, completing handwashing routines, at the table eating lunch, and resting on cots with linens. A caregiver challenged children with recognizing their names on printed index cards. As the children recognized their name, they walked up to the caregiver and spelled their name. The caregiver was at eye level with the children assisting them with letters they did not recognize. A caring and nurturing environment was observed as the caregivers met the children’s needs and interacted with the children. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. A feeding schedule posted in space #4 was not updated to reflect the child's current eating habits. 10 NCAC 09 .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Aquaphor observed in space #3 did not have permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Desitin observed in space #3 was not labeled with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) The above violations must be corrected immediately and a letter must be sent to me no later than 9-20-24 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: Feeding Schedule: A feeding schedule for infants is crucial for ensuring proper nutrition, promoting a sense of security and predictability for the baby, allowing caregivers to effectively monitor hunger cues, and maintaining a consistent routine that aligns with parents' expectations, ultimately contributing to the infant's overall well-being and development. Have parents update the feeding schedule as soon as there is a change in the eating habits. Maintaining a feeding schedule that aligns with the infant's home routine facilitates smooth transitions between home and the childcare facility, allowing for better communication with parents. Medication: 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. 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. • 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. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • 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 CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 71 Completed Date: 9/6/2024 Age: From 0 To 4 Total Minutes: 220 Time In: 11:00 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. This facility currently operates with a Five (5) Star License issued on 4-6-24. The last annual compliance visit was conducted on 3 -14-24. Today’s visit was conducted with you, Lavonne Evans, center director. Upon arrival to the facility, I was greeted by you. A walk-through of the facility monitoring the eight (8) classrooms where children were in care was completed. 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. A sampling of medications and permission to administer medications was observed. The children were observed on the playground, in circle time as the caregiver read a book to the children, completing handwashing routines, at the table eating lunch, and resting on cots with linens. A caregiver challenged children with recognizing their names on printed index cards. As the children recognized their name, they walked up to the caregiver and spelled their name. The caregiver was at eye level with the children assisting them with letters they did not recognize. A caring and nurturing environment was observed as the caregivers met the children’s needs and interacted with the children. During today’s visit, a partial assessment of applicable child care requirements was conducted. The following violations were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. A feeding schedule posted in space #4 was not updated to reflect the child's current eating habits. 10 NCAC 09 .0902(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Aquaphor observed in space #3 did not have permission to administer the medication. 10A NCAC 09 .0803(1)(a & b) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Desitin observed in space #3 was not labeled with the child's name. 10A NCAC 09 .0803(2)(b)(i-v) The above violations must be corrected immediately and a letter must be sent to me no later than 9-20-24 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: Feeding Schedule: A feeding schedule for infants is crucial for ensuring proper nutrition, promoting a sense of security and predictability for the baby, allowing caregivers to effectively monitor hunger cues, and maintaining a consistent routine that aligns with parents' expectations, ultimately contributing to the infant's overall well-being and development. Have parents update the feeding schedule as soon as there is a change in the eating habits. Maintaining a feeding schedule that aligns with the infant's home routine facilitates smooth transitions between home and the childcare facility, allowing for better communication with parents. Medication: 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. 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. • 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. Your scales window was scheduled for next month and you elected to cancel the environmental rating scales assessments which was received via email. NCRLAP was also notified. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • Please link you and your staff asap. Center directors/owners can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. • 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 .0302 · Violation

Name of Operation: KINDERCARE LEARNING CENTERS LLC Facility ID: 9255427 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 10/31/2023 Number Present: 78 Completed Date: 10/31/2023 Age: From 0 To 4 Total Minutes: 325 Time In: 11:00 AM Time Out: 04:25 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 Special Provisional License that was issued on 10-5-23. The last annual compliance visit was conducted on 11-1-22. The last sanitation inspection was completed on 6-23-23 with a “Superior” classification. The last approved fire inspection was conducted on 8-28-23. The NC Secretary of State website was reviewed on 10-31-23 and the corporation’s name, KinderCare Education LLC was listed as “Current-Active.” Today’s visit was conducted with you, Janessa “Cheyenne” Evans-Martin, center director. Upon arrival to the facility, I was greeted by staff. I monitored the eight (8) classrooms in use for compliance with staff/child ratios, supervision, and staff interaction/discipline. The facility was monitored for health and safety requirements both indoors and outdoors using the annual compliance monitoring checklist. The children were observed in activity centers, dancing to music, and interacting while enjoying their fall party. The caregivers were nurturing and engaging with the children. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records will be documented by you and your new staff records, along with children’s records were reviewed today. Medications observed in the classrooms were also monitored. This facility does not transport children. The following violations of child care requirements were cited and must be corrected immediately. Technical assistance on how to maintain compliance was provided. Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. A sufficient quantity of pretend play toys, blocks, and fine motor toys were not made available to allow all infants in space #1 and toddlers in space #4, to use them at the some time during the day and to allow for a range of choices. .0510 (e ) (1)(A-G) 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. Documentation of sleeping infants was not observed for 10-31-23. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Documentation of the required 16 hours of orientation was not observed in the files for two new staff. .1101(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records for one child were not on file as required. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately and a corrective action letter must be sent to me no later than 11-14-23 stating how the violations have corrected and a plan to maintain compliance with the requirements. My mailing address is: PO Box 865, Knightdale, NC 27545-0865 or a corrective action letter can be emailed to: bridggette.campbell@dhhs.nc.gov. If I do not receive your letter by 11-14-23, a return visit to your program may be made to monitor for compliance of the violation. Additional violations may be documented if the item has not been corrected or addressed. The following were discussed with you during today’s visit: • Please submit your staff training worksheets asap. • It was suggested to use painter’s/masking tape to label diaper creams to prevent the children’s names from being smudged off. • Your ready to go file needs to be reorganized using the ready to go file checklist. • Documentation of a well-child visit is not considered a health assessment/medical report. Please require parents to bring you the children’s medical report (completed by a licensed physician) on the Division of Child Development and Early Education (DCDEE) children’s medical report form. The form can be found on the DCDEE website under the Provider’s – “Provider’s Documents and Forms” tab. • We discussed informing applicants during their interview that before the first day of employment they should bring to you their criminal record qualifying letter, staff medical report, and TB test results. • The NC Child Care Health and Safety Resource Center is a valuable resource where you can find skills-based training and technical assistance from your Child Care Health Consultant on specific medications or health conditions, as well as the new poster on Stand-Up Changing Procedures. Sign up for their quarterly newsletter and find updated resources at www.healthychildcare.unc.edu or 800-367-2229, choose option 1, then 2. • The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. Specialists are available with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. A flyer with the challenging behaviors hotline information was provided today. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865 Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.