GS 110-91 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: 1025-294L Visit Date: 10/30/2025 Number Present: 83 Completed Date: 10/30/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:45 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by a center administrator, who stated that the director, Jasmine McKoy was on her way to the center. I explained that I would like to conduct a classroom observation, so she accompanied me to the classroom named in the report. During today’s visit, there were 83 children and 15 staff members present. The facility currently has a 5 star-rated license issued on 4/14/24. There were concerns related to a child’s aggressive behavior, incident reporting and possible supervision. Before I began my observation, I learned that the child who was named in the report is no longer enrolled in the center. I decided to conduct the observation so I could observe the classroom routines and practices and provide feedback to the teachers. I began the visit with an observation in the classroom named in the report. I observed in the classroom for approximately 60 minutes. When I arrived in the classroom, the children were finishing up their circle time, and they were then instructed to go to the table where they had a teacher-led math and hand-writing activity. The teacher was attentive and quickly responded to the children’s needs or requests. She gently reminded the children about classroom rules and expected behaviors. I observed no concerns regarding supervision or general safety during the observation. I then interviewed staff members, asking questions about classroom management techniques, incident reporting. They told me about the strategies they implement to address challenging behaviors, such as encouraging children to use their words, providing a cozy area for children who need some time to themselves and closely supervising the children as they play. They acknowledged that there was recent challenging behaviors in their classroom and expressed frustration that the strategies did not consistently reduce the inappropriate behavior. I asked them what other techniques were implemented to address the behavioral concerns. They stated that they consulted with other professionals who were working with the child named in the report and asked for additional suggestions, which were also implemented in the classroom. Later a behavioral plan was developed to address the concerns, however they were unable to fully implement the plan because the child left the center. I asked about incident reporting and they stated that they completed an incident report with every injury that occurred, which is required by licensing and center policy. I reviewed the center’s incident reports and saw that there were numerous reports completed for approximately 3 months. Each report was completed according to licensing requirements and were signed by a parent. I also gave the director an opportunity to share how the center has addressed these concerns. She stated that another professional had conducted a classroom observation and offered suggestions to support the classroom. These suggestions were being implemented. In addition, she stated that she communicated frequently with the parents and made referrals to agencies that could support the family. Using this information and guidance from their corporate office a behavioral plan was developed to address concerns. In addition, the center previously worked with Early Years and provided additional training for staff to address behavioral concerns. Limited monitoring of child care requirements was assessed during today’s visit. The following unrelated violation of the Child Care Requirements was observed or confirmed during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. While a schedule was posted, it was not congruent with what the children were doing. GS 110-91(12);.0508(a) The above violations must be corrected immediately and verification submitted within 2 weeks to maintain compliance with the NC Child Care Law and Requirements. Please send me a letter that addresses each violation that explains how and when each one was corrected. I must receive your letter by no later than 11/13/25 and it should be sent to my email to wanda.fowler@dhhs.nc.gov. COMPLIANCE HISTORY The center was not in compliance with all applicable licensing requirements during today's visit and violations were documented that could impact the facility’s overall Compliance History Score, which is currently 88%. An updated Compliance History Score will be generated after today’s visit, and you will be informed of the results if it drops below the required 75%. INVESTIGATION STATUS The investigation was completed during today’s visit. Based on observations, and staff interviews, I was unable to determine whether lapses in compliance with the Child Care Requirements have occurred, therefore the concerns related to supervision and incident reporting are UNSUBSTANTIATED. TECHNICAL ASSISTANCE The following items were discussed during today's visit. You may want to consider them to avoid potential violations or improve the quality of your program. Young children need a balance of quiet, active, free choice, teacher directed, large group and small group activities throughout the day. The classroom schedule should reflect a variety of choices and activities to help create this balance. The posted schedule indicated that children would be in activity centers and small group activities during the time I was in the classroom. Instead, the children were in large group activities for most of the time I was in their classroom. When I arrived, the children were finishing up their circle time. They were then instructed to go to the table where they spent an hour doing 3 worksheets. By the end of the activity many children were fidgeting, and a few tried to leave the table, but they were instructed to return to their seats. Some of the children finished their worksheet and had no activities to do while they waited for the other children to finish. After everyone had completed their work, one table was permitted to play in dramatic play for 5 minutes, and the other children were told to get a book and return to the table until their table until it was their turn to play in dramatic play. When I asked the director and the teacher about this practice, they stated that they were helping children prepare for kindergarten. I explained that if the children were permitted to leave circle time and select a center, the teacher could do the same activity with a smaller group of children. This way the teacher could provide more direct instruction and assistance to the smaller group of children, while still supervising the children who were playing in centers. This would avoid wait times and potentially disruptive behavior as the children were waiting for others to finish. Children learn best through being engaged in active play. Here are links to an article related to the benefits of play. https://headstart.gov/curriculum/article/importance-play-early-childhood CONSULTATION One of the biggest challenges that early childhood educators and administrators face is children’s behavior. Even behaviors that are developmentally appropriate can be difficult for a teacher to manage. Providing technical assistance, coaching and professional development for staff to prevent and address these challenging behaviors, as well as promote the children’s social competence can be beneficial. Resources are available to assist programs with classrooms who are experiencing challenging behaviors. In the future you could reach out to a Healthy Social Behavior Specialist at Early Years; they can be reached at (919) 403-6950 or Project Enlightenment at (919) 856-7774 for assistance. We also discussed that all incident reports should be documented on the Incident Log. You can find this document on the DCDEE website in the Provider’s Document tab. CONTACT INFORMATION If you have any questions or need additional information, I can be reached at 919 218-0988 or wanda.fowler@dhhs.nc.gov. My supervisor, Holli Hemby, can be reached at holli.hemby@dhhs.nc.gov or 919 819-9363 if I am unavailable. 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 .0601 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/10/2025 Number Present: 83 Completed Date: 9/10/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 10:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center director, Jasmine McKoy, and we conducted a general walk through of the indoor and outdoor learning environments. I observed groups of children engaged in free play or group activities in their classrooms. I also observed infant rest time, diapering and meal service in an older classroom. It was raining, so I did not assess all the playground areas. I only assessed the playground used by the older children. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 4/14/25 through the Accreditation pathway. In September, we will be conducting Provider trainings to help you better understand Pathway to the Stars. Please be on the lookout for your invitation to this training. INSPECTIONS The last sanitation inspection was completed on 12/9/24. The last fire inspection was completed 10/7/24. If you have not already done so, you should contact the fire inspector to schedule your next visit. Please email your fire inspection report checklist once it is completed. The last documented fire drill was conducted 8/25/25. The last documented lock down or shelter-in-place drill was conducted 8/8/25. The last documented playground inspection was conducted 8/22/25. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, Kindercare Education, LLC,, is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 10/1/24 – 9/30/25. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Cleaning products were stored on the bottom shelf in an unlocked cabinet in one classroom and in another classroom a staff member's purse was stored on a chair in an unlocked closet. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was less than 2 inches of protective surfacing around the slides on the playground used by older children. .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Two staff members did not complete training in all the required topics within their first year of employment. .1102(a) The above violations must be corrected immediately. By 9/24/25 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 85%. According to NC General Statute 110-90 (4) (d) all facilities must maintain a compliance history of at least seventy-five percent (75%) for the past 18 months. TECHNICAL ASSISTANCE Health and safety trainings help ensure that teachers have a basic understanding of general safety and health practices. Two of your staff members who have completed their first year of employment did not complete training in all the required topics. One of them had taken a “What is Prevention?” training rather than Recognizing and Responding to Suspicions of Child Maltreatment. Another staff member was missing training in a few topics. It is crucial that all potentially hazardous materials be inaccessible to children. This keeps the children from being exposed to or having contact with items that may be harmful to them. During today’s visit, a staff purse was stored on a chair in an unlocked closet and in another classroom, cleaning products were stored on the bottom shelf of an unlocked cabinet. Inaccessible is defined as being stored in a locked closet or at least 5 feet above the ground. Protective surfacing helps provide a cushion should children fall while playing on a climbing structure. The protective surfacing on the playground used by other children was less than 6 inches near the slides. You may be able to redistribute the mulch to the areas where it is needed. If you are unable to maintain at least 6 inches around all the fall zone area, then more mulch is needed. CONSULTATION With the extreme heat conditions we have been experiencing, we are cautioning all programs to closely monitor the temperatures of playground surfaces. During a recent visit, a consultant found that the artificial turf, in an unshaded area, was hot to touch. This could result in children being burned while playing outdoors. I left a handout with you today titled, “Protecting Children from Thermal Burns.” This handout discussed prevention and treatment options should a child experience a burn. Child Care facilities are required to test their drinking and cooking water for lead every three years. Your water was last tested for lead on 2/6/24. In addition, child care facilities are now required to test for lead and asbestos hazards in their buildings. You stated that the center was determined to be exempt from this testing. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle but you must register separately for this training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. ACCESS TO THE ABCMS SYSTEM: Center directors can now access the Automated Background Check Management System (ABCMS), the DCDEE’s criminal background check system. This access will allow providers to: See the real-time background check status of staff members. Run a printable report of the staff roster to assist with compliance visits. See new background check applicants and add to staff roster. Access to the ABCMS requires the successful completion of a Moodle course consisting of a short video followed by a test. The course is titled ABCMS Child Care Provider Portal Training - under the Early Childhood Professional Development Tab, then under the Criminal Background (CBC) tab. If you have questions regarding the PROVIDER PORTAL contact the Criminal Background Check Unit at (919) 814-6401 or email: DCDEE_ABCMS_Provider@dhhs.nc.gov. For general questions regarding APPLICANTS, applications, or other CBC questions email: DHHS.CBC.Unit@dhhs.nc.gov or call (919) 814-6401. To access your staff criminal records, they must have your program listed as their place of employment in ABCMS. This requirement is indicated as Item #7 on the staff and training worksheet and replaces the Data Change form that was previously required to be submitted to the Criminal Records Unit. It is recommended that staff add your program as their place of employment during the first few days of orientation. This change should be documented and placed in their file. The documentation could be a screenshot after the change is made or documented on the Orientation Form in the Other section. The date the change was made should be indicated in Item #7 on the staff and training worksheet during the staff member’s first year of employment. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements and the new QRIS requirements. If you need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 3/3/2025 Number Present: 110 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 12:00 PM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to assess applicable child-care requirements during a routine unannounced visit. The director, Jasmine McKoy, assisted me with today’s visit. We conducted a walk-through of the indoor and outdoor learning environments. I observed groups of children resting on their cots, infant meal time and infant rest time. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/20/21. They received 6 points in program standards, 7 points in staff education and 1 quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The center is NAEYC Accredited so we discussed the accreditation pathway, and you will email the application and a copy of your Accreditation Certificate to me so I can process your 5 star-rated license once the violations noted in this report are corrected. INSPECTIONS The last sanitation inspection was conducted 12/9/24. The last fire inspection was conducted 10/7/24. The last documented fire drill was conducted 2/28/25. The last documented shelter-in-place or lockdown drill was conducted 2/8/25. The last documented playground inspection was conducted 3/3/25. The status of the owners, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State website. Limited monitoring of childcare requirements was assessed during today’s visit. I reviewed emergency medications, 2 new staff files and confirmed that all staff have current CPR, First Aid, and ITS SIDS certificates, as required. The program does not transport children or enroll school-aged children; therefore, these requirements were not assessed. The following violations were observed and recorded during today’s visit. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. A child's epi-pen expired 2/13/25. 10A NCAC 09 .0803(1)(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There was less than 6 inches of mulch around the tall slide on the climbing structure used by the older children. .0605(k)(1-4) The above violations must be corrected immediately. By 3/17/25 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it to 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made and additional violations may be added. COMPLIANCE HISTORY Prior to today’s visit, the program’s compliance history was 92%. TECHNICAL ASSISTANCE It is important to maintain all emergency medication standards to ensure that children received proper treatment in the event that they are exposed to a known allergen. One child’s emergency medication expired 2/13/25. The care plan and medication authorization were completed in January, but the medication was not sent home when it expired. When checking medications it is important to look at the authorization forms, care plans (where applicable) and the expiration date on the medication. Sufficient mulch is needed around the fall zone areas for your climbing structure as it supplies a cushion for children if they fall. There appeared to be enough mulch on the playground, however, much of in was on the sidewalk and in other areas of the playground where the mulch is not required. Periodically, the mulch should be turned and redistributed to the appropriate fall zone areas. CONSULTATION All childcare facilities are required to test their drinking and cooking water for led every three years. Your water was last tested, 2/6/24. For more information, you should contact Clean Water for Carolina Kids. Contact www.cleanwaterforcarolinakids.org for more information. In addition, childcare facilities are now required to test for lead and asbestos hazards in their buildings. This center is determined to be exempt from testing for lead-based paint and asbestos. Additional information can be found in the RaiseNC newsletter sent on December 7, 2023. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. There is a link to this training on Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID username and password to access this training. Staff should use their individual NCID username and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. AGENCY UPDATES Please remember to check the Division of Child Development and Early Education website: ncchildcare.ncdhhs.gov frequently to stay updated on rule requirements. The Child Care Commission has published new rules related to the modernization of the Quality Rated License Improvement System. A link to this information is provided in the 1/24/25 RaiseNC newsletter. Once the rules are published there will be a 60-day public comment period. This is an opportunity to give input and ask questions regarding this process. If you have any questions or need assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 102 Completed Date: 9/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center assistant director, and later the center director, Jasmine McKoy arrived, and we conducted a general walk through of the indoor and outdoor learning environments. I observed infant meal time, handwashing, meal service and free play or group time activities in the classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/20/21. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should have all staff education assessed through WORKS. Best practice is to complete the WORKS registration and submit transcripts or have staff log in to confirm that their education is current in our system as a part of their new employee onboarding. Then the only changes required would be if an employee completes more education. INSPECTIONS The last sanitation inspection was completed on 2/26/24. The last fire inspection was completed 9/28/24. You stated that you have left a message for the fire inspector, but have not heard back. I suggested that you leave another message for them. The last documented fire drill was conducted 9/3/24. The last documented lock down or shelter-in-place drill was conducted 8/8/24. The last documented playground inspection was conducted 9/3/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 10/1/23 – 9/30/24. A few staff members still need training hours for this year. This should be completed and documented on the training logs by 9/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 209 Children used space that was not approved. Upon my arrival to the center, there were 4 children present with a teacher in the center's copy room. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered in the block area in one of the classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The medication authorization form was expired for two children who have emergency medications. 10A NCAC 09 .0803(4)(6-9) 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. No sleep records were available for review in the Wobble room during today's visit. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated past the hire date for several employee's and one employee's medical report was more than 1 year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Multiple staff member's tb tests are dated past their hire date and one staff member's tb test was more than 1 year old. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire in three staff files that were reviewed today were more than 1 year old. .0701(a) 1898 Staff did not complete the health and safety training within one year of employment. Four staff members, employed more than 1 year, had not completed training in the required health and safety topics. .1102(a) COMMENTS The above violations must be corrected immediately. By 9/30/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 95%. TECHNICAL ASSISTANCE When I arrived, a teacher had 4 children with her in a space that the center identifies as the copy room. I reviewed the center’s floor plan and confirmed that this space is not licensed and should not be used by children. I did not see any unsafe or potentially hazardous items that were accessible to the children, but children were present in the unlicensed space. I recommend posting a notice on the door that children are not permitted in the space and remind all staff members that if they need to use the space, they should request coverage for their classroom, so the children remain in the licensed portions of the facility. Staff are required to have current tb tests and staff medical reports upon hire, to ensure that they are free from communicable disease and are physically and emotionally fit to care for young children. One staff member’s tb and staff medical report was dated 10/15/21. Several other staff member’s tb and staff medical report was dated past their hire date. The director stated that they hire the staff member and begin orientation prior to receiving these forms, but they are not permitted to work in the classrooms until these are received. I reminded that the rule states that these documents must be received prior to employment and that documents must be less than 1 year old to be current. Observing infants while they are sleeping and documenting their sleep positions ensures that children are being closely supervised and that infant staff are following safe sleep requirements. There were two infants present in the Wobble room today and there were no sleep records available for review for these infants. We discussed that observing infants who are sleeping and documenting their sleep positions are required until a child’s first birthday. Having current, valid medication authorization forms ensure that staff have all the information necessary to administer medication to the children. Two children, who have chronic medical conditions or allergies, medication forms were dated for December 2023. The children medical action or allergy care plan is valid for one year, but the medication authorization forms must be completed every 6 months. Many programs have a designated person who routinely monitors medication to ensure that all documents are current and valid. Training in the required health and safety topics is required within a staff member’s first year of employment and every 5 years thereafter. Four staff members who have been employed more than 1 year had not completed training in all the required topics. The director stated that they had difficulty logging into Moodle. I suggested that she contact the Moodle help desk for assistance. Also note that training in these topics can be obtained through other trainers and if you are unable to access Moodle. Annual staff health questionnaires and emergency contact information is required to ensure that you have current information in the event of an emergency with a staff member. This documented was dated for 8/11/23 for three of the staff files reviewed today. I suggest having a designated month when all staff update these forms, so that they always remain current. Electrical outlets should remain covered in all areas of the classrooms that are accessible to children. An outlet was uncovered in one of the preschool classrooms today. Please provide extra outlet covers so staff can quickly replace these covers as needed. CONSULTATION The center’s water was tested for lead on 2/24/24 and it was determined that the center is exempt from testing for lead based paint and asbestos. During the walkthrough, a two-year-old child was present in the Wobbler classroom, where two infants were also present. After we had conducted the walk-through I reviewed that child’s file and confirmed that the child has some developmental delays and health issues that may make this classroom placement appropriate for the child. I reviewed child care rule NCAC 10 9 .0713 (a) (3) which states that certification from the child’s physician stating that placement in the infant room is developmentally appropriate for the child, must be in the child’s file. I advised that this certification should be obtained, but since there were other documents present in the file, indicating the child’s developmental delay, a licensing violation was not documented. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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 .0701 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 102 Completed Date: 9/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center assistant director, and later the center director, Jasmine McKoy arrived, and we conducted a general walk through of the indoor and outdoor learning environments. I observed infant meal time, handwashing, meal service and free play or group time activities in the classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/20/21. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should have all staff education assessed through WORKS. Best practice is to complete the WORKS registration and submit transcripts or have staff log in to confirm that their education is current in our system as a part of their new employee onboarding. Then the only changes required would be if an employee completes more education. INSPECTIONS The last sanitation inspection was completed on 2/26/24. The last fire inspection was completed 9/28/24. You stated that you have left a message for the fire inspector, but have not heard back. I suggested that you leave another message for them. The last documented fire drill was conducted 9/3/24. The last documented lock down or shelter-in-place drill was conducted 8/8/24. The last documented playground inspection was conducted 9/3/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 10/1/23 – 9/30/24. A few staff members still need training hours for this year. This should be completed and documented on the training logs by 9/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 209 Children used space that was not approved. Upon my arrival to the center, there were 4 children present with a teacher in the center's copy room. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered in the block area in one of the classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The medication authorization form was expired for two children who have emergency medications. 10A NCAC 09 .0803(4)(6-9) 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. No sleep records were available for review in the Wobble room during today's visit. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated past the hire date for several employee's and one employee's medical report was more than 1 year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Multiple staff member's tb tests are dated past their hire date and one staff member's tb test was more than 1 year old. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire in three staff files that were reviewed today were more than 1 year old. .0701(a) 1898 Staff did not complete the health and safety training within one year of employment. Four staff members, employed more than 1 year, had not completed training in the required health and safety topics. .1102(a) COMMENTS The above violations must be corrected immediately. By 9/30/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 95%. TECHNICAL ASSISTANCE When I arrived, a teacher had 4 children with her in a space that the center identifies as the copy room. I reviewed the center’s floor plan and confirmed that this space is not licensed and should not be used by children. I did not see any unsafe or potentially hazardous items that were accessible to the children, but children were present in the unlicensed space. I recommend posting a notice on the door that children are not permitted in the space and remind all staff members that if they need to use the space, they should request coverage for their classroom, so the children remain in the licensed portions of the facility. Staff are required to have current tb tests and staff medical reports upon hire, to ensure that they are free from communicable disease and are physically and emotionally fit to care for young children. One staff member’s tb and staff medical report was dated 10/15/21. Several other staff member’s tb and staff medical report was dated past their hire date. The director stated that they hire the staff member and begin orientation prior to receiving these forms, but they are not permitted to work in the classrooms until these are received. I reminded that the rule states that these documents must be received prior to employment and that documents must be less than 1 year old to be current. Observing infants while they are sleeping and documenting their sleep positions ensures that children are being closely supervised and that infant staff are following safe sleep requirements. There were two infants present in the Wobble room today and there were no sleep records available for review for these infants. We discussed that observing infants who are sleeping and documenting their sleep positions are required until a child’s first birthday. Having current, valid medication authorization forms ensure that staff have all the information necessary to administer medication to the children. Two children, who have chronic medical conditions or allergies, medication forms were dated for December 2023. The children medical action or allergy care plan is valid for one year, but the medication authorization forms must be completed every 6 months. Many programs have a designated person who routinely monitors medication to ensure that all documents are current and valid. Training in the required health and safety topics is required within a staff member’s first year of employment and every 5 years thereafter. Four staff members who have been employed more than 1 year had not completed training in all the required topics. The director stated that they had difficulty logging into Moodle. I suggested that she contact the Moodle help desk for assistance. Also note that training in these topics can be obtained through other trainers and if you are unable to access Moodle. Annual staff health questionnaires and emergency contact information is required to ensure that you have current information in the event of an emergency with a staff member. This documented was dated for 8/11/23 for three of the staff files reviewed today. I suggest having a designated month when all staff update these forms, so that they always remain current. Electrical outlets should remain covered in all areas of the classrooms that are accessible to children. An outlet was uncovered in one of the preschool classrooms today. Please provide extra outlet covers so staff can quickly replace these covers as needed. CONSULTATION The center’s water was tested for lead on 2/24/24 and it was determined that the center is exempt from testing for lead based paint and asbestos. During the walkthrough, a two-year-old child was present in the Wobbler classroom, where two infants were also present. After we had conducted the walk-through I reviewed that child’s file and confirmed that the child has some developmental delays and health issues that may make this classroom placement appropriate for the child. I reviewed child care rule NCAC 10 9 .0713 (a) (3) which states that certification from the child’s physician stating that placement in the infant room is developmentally appropriate for the child, must be in the child’s file. I advised that this certification should be obtained, but since there were other documents present in the file, indicating the child’s developmental delay, a licensing violation was not documented. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. 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: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 102 Completed Date: 9/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center assistant director, and later the center director, Jasmine McKoy arrived, and we conducted a general walk through of the indoor and outdoor learning environments. I observed infant meal time, handwashing, meal service and free play or group time activities in the classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/20/21. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should have all staff education assessed through WORKS. Best practice is to complete the WORKS registration and submit transcripts or have staff log in to confirm that their education is current in our system as a part of their new employee onboarding. Then the only changes required would be if an employee completes more education. INSPECTIONS The last sanitation inspection was completed on 2/26/24. The last fire inspection was completed 9/28/24. You stated that you have left a message for the fire inspector, but have not heard back. I suggested that you leave another message for them. The last documented fire drill was conducted 9/3/24. The last documented lock down or shelter-in-place drill was conducted 8/8/24. The last documented playground inspection was conducted 9/3/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 10/1/23 – 9/30/24. A few staff members still need training hours for this year. This should be completed and documented on the training logs by 9/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 209 Children used space that was not approved. Upon my arrival to the center, there were 4 children present with a teacher in the center's copy room. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered in the block area in one of the classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The medication authorization form was expired for two children who have emergency medications. 10A NCAC 09 .0803(4)(6-9) 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. No sleep records were available for review in the Wobble room during today's visit. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated past the hire date for several employee's and one employee's medical report was more than 1 year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Multiple staff member's tb tests are dated past their hire date and one staff member's tb test was more than 1 year old. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire in three staff files that were reviewed today were more than 1 year old. .0701(a) 1898 Staff did not complete the health and safety training within one year of employment. Four staff members, employed more than 1 year, had not completed training in the required health and safety topics. .1102(a) COMMENTS The above violations must be corrected immediately. By 9/30/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 95%. TECHNICAL ASSISTANCE When I arrived, a teacher had 4 children with her in a space that the center identifies as the copy room. I reviewed the center’s floor plan and confirmed that this space is not licensed and should not be used by children. I did not see any unsafe or potentially hazardous items that were accessible to the children, but children were present in the unlicensed space. I recommend posting a notice on the door that children are not permitted in the space and remind all staff members that if they need to use the space, they should request coverage for their classroom, so the children remain in the licensed portions of the facility. Staff are required to have current tb tests and staff medical reports upon hire, to ensure that they are free from communicable disease and are physically and emotionally fit to care for young children. One staff member’s tb and staff medical report was dated 10/15/21. Several other staff member’s tb and staff medical report was dated past their hire date. The director stated that they hire the staff member and begin orientation prior to receiving these forms, but they are not permitted to work in the classrooms until these are received. I reminded that the rule states that these documents must be received prior to employment and that documents must be less than 1 year old to be current. Observing infants while they are sleeping and documenting their sleep positions ensures that children are being closely supervised and that infant staff are following safe sleep requirements. There were two infants present in the Wobble room today and there were no sleep records available for review for these infants. We discussed that observing infants who are sleeping and documenting their sleep positions are required until a child’s first birthday. Having current, valid medication authorization forms ensure that staff have all the information necessary to administer medication to the children. Two children, who have chronic medical conditions or allergies, medication forms were dated for December 2023. The children medical action or allergy care plan is valid for one year, but the medication authorization forms must be completed every 6 months. Many programs have a designated person who routinely monitors medication to ensure that all documents are current and valid. Training in the required health and safety topics is required within a staff member’s first year of employment and every 5 years thereafter. Four staff members who have been employed more than 1 year had not completed training in all the required topics. The director stated that they had difficulty logging into Moodle. I suggested that she contact the Moodle help desk for assistance. Also note that training in these topics can be obtained through other trainers and if you are unable to access Moodle. Annual staff health questionnaires and emergency contact information is required to ensure that you have current information in the event of an emergency with a staff member. This documented was dated for 8/11/23 for three of the staff files reviewed today. I suggest having a designated month when all staff update these forms, so that they always remain current. Electrical outlets should remain covered in all areas of the classrooms that are accessible to children. An outlet was uncovered in one of the preschool classrooms today. Please provide extra outlet covers so staff can quickly replace these covers as needed. CONSULTATION The center’s water was tested for lead on 2/24/24 and it was determined that the center is exempt from testing for lead based paint and asbestos. During the walkthrough, a two-year-old child was present in the Wobbler classroom, where two infants were also present. After we had conducted the walk-through I reviewed that child’s file and confirmed that the child has some developmental delays and health issues that may make this classroom placement appropriate for the child. I reviewed child care rule NCAC 10 9 .0713 (a) (3) which states that certification from the child’s physician stating that placement in the infant room is developmentally appropriate for the child, must be in the child’s file. I advised that this certification should be obtained, but since there were other documents present in the file, indicating the child’s developmental delay, a licensing violation was not documented. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: WANDA FOWLER Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 102 Completed Date: 9/16/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 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 applicable child care requirements during your annual compliance visit. This documentation was reviewed with you and a copy of the visit summary documentation was given to you at the end of the visit. Upon arrival, I was greeted by the center assistant director, and later the center director, Jasmine McKoy arrived, and we conducted a general walk through of the indoor and outdoor learning environments. I observed infant meal time, handwashing, meal service and free play or group time activities in the classrooms. RATED LICENSE STATUS The program operates with a 5-star rated license issued on 7/20/21. They received 6 points in program standards, 7 points in staff education and one quality point through the programmatic option of having a staff benefit package and an infrastructure of parent involvement. The program’s “held harmless status” has been extended until the new QRIS is implemented. This means that rated license visits will not be processed until the new rated license process is completed unless the program requests to proceed with a new rated license. You should have all staff education assessed through WORKS. Best practice is to complete the WORKS registration and submit transcripts or have staff log in to confirm that their education is current in our system as a part of their new employee onboarding. Then the only changes required would be if an employee completes more education. INSPECTIONS The last sanitation inspection was completed on 2/26/24. The last fire inspection was completed 9/28/24. You stated that you have left a message for the fire inspector, but have not heard back. I suggested that you leave another message for them. The last documented fire drill was conducted 9/3/24. The last documented lock down or shelter-in-place drill was conducted 8/8/24. The last documented playground inspection was conducted 9/3/24. MONITORING During this visit a full assessment of Child Care Requirements was conducted. The facility was assessed using items noted on the Annual Compliance for Centers checklist. The status of the owner, Kindercare Education, LLC., is listed as current and active on the NC Secretary of State’s website. Staff on-going training was assessed from 10/1/23 – 9/30/24. A few staff members still need training hours for this year. This should be completed and documented on the training logs by 9/30/24. The following violations were observed and recorded during today’s visit: Violation Number Comment Rule 209 Children used space that was not approved. Upon my arrival to the center, there were 4 children present with a teacher in the center's copy room. GS 110-91(1)&(4-5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical outlet was uncovered in the block area in one of the classrooms. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. The medication authorization form was expired for two children who have emergency medications. 10A NCAC 09 .0803(4)(6-9) 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. No sleep records were available for review in the Wobble room during today's visit. .0606(g) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical report was dated past the hire date for several employee's and one employee's medical report was more than 1 year old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Multiple staff member's tb tests are dated past their hire date and one staff member's tb test was more than 1 year old. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The health questionnaire in three staff files that were reviewed today were more than 1 year old. .0701(a) 1898 Staff did not complete the health and safety training within one year of employment. Four staff members, employed more than 1 year, had not completed training in the required health and safety topics. .1102(a) COMMENTS The above violations must be corrected immediately. By 9/30/24 please email me a signed letter of compliance. Before the letter is sent, all violations should be corrected; please contact me if additional time is needed to correct a specific violation. Include the following in your letter: facility ID number, list the item number describing how and when the violations were corrected and tell me how you plan to maintain compliance in the future with each item. If you prefer to mail your letter, you may send it my attention at 2201 Mail Service Center Raleigh, NC 27699-2201 If the compliance action letter is not received by the due date another visit to the center may be made. COMPLIANCE HISTORY Prior to today’s visit, the compliance history score for the center was 95%. TECHNICAL ASSISTANCE When I arrived, a teacher had 4 children with her in a space that the center identifies as the copy room. I reviewed the center’s floor plan and confirmed that this space is not licensed and should not be used by children. I did not see any unsafe or potentially hazardous items that were accessible to the children, but children were present in the unlicensed space. I recommend posting a notice on the door that children are not permitted in the space and remind all staff members that if they need to use the space, they should request coverage for their classroom, so the children remain in the licensed portions of the facility. Staff are required to have current tb tests and staff medical reports upon hire, to ensure that they are free from communicable disease and are physically and emotionally fit to care for young children. One staff member’s tb and staff medical report was dated 10/15/21. Several other staff member’s tb and staff medical report was dated past their hire date. The director stated that they hire the staff member and begin orientation prior to receiving these forms, but they are not permitted to work in the classrooms until these are received. I reminded that the rule states that these documents must be received prior to employment and that documents must be less than 1 year old to be current. Observing infants while they are sleeping and documenting their sleep positions ensures that children are being closely supervised and that infant staff are following safe sleep requirements. There were two infants present in the Wobble room today and there were no sleep records available for review for these infants. We discussed that observing infants who are sleeping and documenting their sleep positions are required until a child’s first birthday. Having current, valid medication authorization forms ensure that staff have all the information necessary to administer medication to the children. Two children, who have chronic medical conditions or allergies, medication forms were dated for December 2023. The children medical action or allergy care plan is valid for one year, but the medication authorization forms must be completed every 6 months. Many programs have a designated person who routinely monitors medication to ensure that all documents are current and valid. Training in the required health and safety topics is required within a staff member’s first year of employment and every 5 years thereafter. Four staff members who have been employed more than 1 year had not completed training in all the required topics. The director stated that they had difficulty logging into Moodle. I suggested that she contact the Moodle help desk for assistance. Also note that training in these topics can be obtained through other trainers and if you are unable to access Moodle. Annual staff health questionnaires and emergency contact information is required to ensure that you have current information in the event of an emergency with a staff member. This documented was dated for 8/11/23 for three of the staff files reviewed today. I suggest having a designated month when all staff update these forms, so that they always remain current. Electrical outlets should remain covered in all areas of the classrooms that are accessible to children. An outlet was uncovered in one of the preschool classrooms today. Please provide extra outlet covers so staff can quickly replace these covers as needed. CONSULTATION The center’s water was tested for lead on 2/24/24 and it was determined that the center is exempt from testing for lead based paint and asbestos. During the walkthrough, a two-year-old child was present in the Wobbler classroom, where two infants were also present. After we had conducted the walk-through I reviewed that child’s file and confirmed that the child has some developmental delays and health issues that may make this classroom placement appropriate for the child. I reviewed child care rule NCAC 10 9 .0713 (a) (3) which states that certification from the child’s physician stating that placement in the infant room is developmentally appropriate for the child, must be in the child’s file. I advised that this certification should be obtained, but since there were other documents present in the file, indicating the child’s developmental delay, a licensing violation was not documented. Training in all the required health and safety topics must be completed at least every 5 years. It may be time for your staff to complete this training again. Health and Safety training is available, at no charge, on the DCDEE website, in Moodle. Medication Administration is also a required health and safety training topic. This training is available through Moodle as a separate training. Staff should use their individual NCID user name and password to access this training. Staff should use their individual NCID user name and password to access this training. Recognizing and Responding to Suspicions of Child Maltreatment must also be completed at least every 5 years. There is a link to this training on Moodle. AGENCY UPDATES Please check the DCDEE website frequently for updates and changes to child care requirements. If you have any further questions or need any assistance, please contact me at wanda.fowler@dhhs.nc.gov or by phone at 919 218-0988. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KNOWLEDGE BEGINNINGS Facility ID: 92001283 Consultant: MICHELE HIRSCH Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 90 Completed Date: 9/19/2023 Age: From 0 To 5 Total Minutes: 190 Time In: 09:24 AM Time Out: 12:34 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 during your annual compliance visit. The facilities last annual compliance visit was September 27th, 2022. A checklist was used to note the requirements I monitored today. My visit was conducted with you, Jasmine McCoy, Director. Asst. Director Beth Keeter and center staff. The center currently operates with a 5- star license, operating at 30sq. ft. inside, & enhanced ratios. At the conclusion of today’s visit Ms. McCoy and I discussed the rated license renewal process and informed her that the facility is in Cohort 2 training period from July 1st, 2024-June 30th, 205 and assessment period July 1st, 2025-June 30th, 2026. I was accompanied by Ms. McCoy on a walkthrough of the facilities nine classrooms, kitchen, and outdoor play environments. The children were observed participating in teacher directed & free play activities both indoors and outdoors. During the walkthrough to obtain enrollment and conduct my observations I monitored for required posted documents, interactions between staff and children, discipline, supervision, group sizes, space capacity, program requirements (including fire drills, lockdown/shelter in place drills, playground inspections and EPR) , equipment, furnishings, medications requirements and observed laminated stop signs on classroom doors that say, “STOP and the allergy present in the classroom. VERIFICATION OF RECORDS: *Last fire inspection= 9/27/2022 and approved for daytime care only. During today’s visit I contacted the current assigned fire inspector because the inspection is due in eight days and has not been scheduled. We talked to the fire inspector who talked us through the online request and scheduled an appointment for inspection before expiration. - PLEASE send me a copy of the fire inspectors paperwork via email following your visit. *Sanitation inspection= 1/17/2023- with 4 demerits and a superior rating *On September 1st,2023, I reviewed the NC Secretary of State’s website and observed the owner KinderCare Education, LLC current/active Compliance history as of 9/19/2023= 93% *The following violation was cited during today’s visit Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Tote boxes and/or lids used for storage of outdoor play toys were cracked with edges that were a bit sharp and broken accessible to enrolled children and were not removed and replaced 10A NCAC 09 .0604(p) *****TECHNICAL ASSISTANCE/REMINDERS: ******* • A fire inspection appointment was scheduled during my visit. Please email me the completed checklist and paperwork following your visit. • Conversation had concerning center menu. Although the facility uses an app to update information, please make sure it is also updated in the lobby and kitchen per requirements as well. • A violation of childcare requirements concerning toys/materials was cited regarding the broken totes and tops in the playground area. Although they are used for storage, they are accessible to the enrolled children. When they crack or break the edges are sharp, please ask staff to remove these items when observed and ask for a replacement to avoid injury. • Sanitation Rules Training for Child Care Centers • New childcare sanitation rules went into effect in July. Childcare centers (not for family childcare homes) please plan to attend free training on the rules at one of these webinars: • September 20, 2023, 9:00 am – 11:30 am • Child Care Sanitation Rules Webinar • Click here to join the meeting on your computer, mobile app or room device. Meeting ID: 241 778 378 571 Passcode: eDKyG8 • Download Teams or Join on the web. • Or call in (audio only) • +1 984-204-1487,405901429# United States, Raleigh • Phone Conference ID: 405 901 429# • September 26, 2023, 9:00 am – 11:30 am • Child Care Sanitation Rules Webinar • Click here to join the meeting on your computer, mobile app or room device. • Meeting ID: 249 614 002 608 • Passcode: xNN39f • Download Teams or Join on the web. • Or call in (audio only) • +1 984-204-1487,2708765# United States, Raleigh • Phone Conference ID: 270 876 5# A violation of childcare requirements was cited during my visit and requires a letter of corrective action by September 29th, 2023. Please indicate how you corrected it and how you will keep it in compliance going forward. Thank you Michele Hirsch, DCDEE Licensing Consultant Michele.j.hirsch@dhhs.nc.gov 1020 Lake Royale Louisburg, NC 27549 919-819-9364 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.