Southeast Raleigh Elementary

10A NCAC 09 .0803 · Violation

Name of Operation: SOUTHEAST RALEIGH ELEMENTARY Facility ID: 92003650 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 26 Completed Date: 5/29/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance assessment. This facility operates with a Five (5) Star license issued on 8-14-20. The last annual compliance visit was conducted on 5-31-24. The last fire inspection was completed on 9-13-24. The last sanitation inspection was completed on 3-25-25 with a “Superior” classification. Today’s visit was conducted with you, Ms. Stacey Evans, Lead Teacher. This facility has two (2) NC Pre-K classrooms occupying spaces #1505 and #1501. The NC Pre-K program operates for a minimum of 7.0 hours a day from 8:00am – 3:00pm and attendance documenting time of arrival and departure is taken daily. USDA approved meals are served and menus are planned at least one week in advance. The center uses the approved Creative Curriculum Teaching Strategies Gold (TSG) as an early childhood teaching resource. The NC Pre-K classroom abides by a 1:9 staff/child ratio. NC Pre-K paperwork was reviewed during today’s visit. Four (4) children’s files were randomly selected verifying health assessments and/or developmental screenings were on file. The DCDEE NC Pre-K Program Monitoring Tool is used as a guide to ensure compliance with NC Pre-K requirements. During circle time the children discussed their recent visits to their new kindergarten classrooms. The conversation evolved into what transportation they would take to school and the safety needed when crossing the crosswalk at school. The children painted with sponge paintbrushes on large cardboard letters that will be used during their graduation ceremony. The children also engaged in outdoor gross motor play within the fenced playground. They were observed coming inside and completing toileting and handwashing routines prior to eating lunch. The facility was monitored for staff/child ratios, supervision, discipline, and health and safety requirements indoors and outdoors. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you and your new staff records, along with three (3) children’s records were reviewed today. This facility is not approved for transportation. There are children with medication in both classrooms and the permission to administer the medications were observed. A full assessment of applicable child care requirements was conducted today. The following violation of child care requirements was cited and must be corrected immediately. Technical assistance on how to maintain requirements 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. In space #1501 permission to administer an Epinephrine Injection, USP expired on 2-28-25. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 6-12-25 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: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip (good for 6-months for asthma and allergy medication), 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, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. • An updated summary of the law poster was emailed to you today. Please post in both classrooms the updated summary of the law poster. • Carefully review permission slips to ensure that parents have provided clear and specific instructions for administering medications. For example, one slip today stated, 'as needed for mild symptoms,' which lacks the necessary guidance on when to give the medication. Detailed instructions—such as administering the medication when wheezing, coughing, or hives appear, or after exposure to a particular food or substance that triggers an allergic reaction—should be clearly documented. • 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. 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. 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. 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 . • 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. • April 5-11, 2025 was the Week of the Young Child®, a chance to focus public attention on the needs of young children and their families and to recognize the early childhood programs and services that meet those needs. Get free materials on how early care and learning benefits N.C. in the Raise North Carolina Toolkit https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. Explore and download the free suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, videos, talking points and more to share with families and visitors. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective January 2025, to your desktop computer for easy access. • Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children, https://ncaeyc.org/training-events/, Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. Join the webinar https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration on June 10th at 12 noon to 1:00pm to learn more. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • Please continue to visit DCDEE’s website for child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time and cooperation. If you have any questions or concerns, please do not hesitate to contact me. Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SOUTHEAST RALEIGH ELEMENTARY Facility ID: 92003650 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 5/29/2025 Number Present: 26 Completed Date: 5/29/2025 Age: From 4 To 5 Total Minutes: 225 Time In: 10:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance assessment. This facility operates with a Five (5) Star license issued on 8-14-20. The last annual compliance visit was conducted on 5-31-24. The last fire inspection was completed on 9-13-24. The last sanitation inspection was completed on 3-25-25 with a “Superior” classification. Today’s visit was conducted with you, Ms. Stacey Evans, Lead Teacher. This facility has two (2) NC Pre-K classrooms occupying spaces #1505 and #1501. The NC Pre-K program operates for a minimum of 7.0 hours a day from 8:00am – 3:00pm and attendance documenting time of arrival and departure is taken daily. USDA approved meals are served and menus are planned at least one week in advance. The center uses the approved Creative Curriculum Teaching Strategies Gold (TSG) as an early childhood teaching resource. The NC Pre-K classroom abides by a 1:9 staff/child ratio. NC Pre-K paperwork was reviewed during today’s visit. Four (4) children’s files were randomly selected verifying health assessments and/or developmental screenings were on file. The DCDEE NC Pre-K Program Monitoring Tool is used as a guide to ensure compliance with NC Pre-K requirements. During circle time the children discussed their recent visits to their new kindergarten classrooms. The conversation evolved into what transportation they would take to school and the safety needed when crossing the crosswalk at school. The children painted with sponge paintbrushes on large cardboard letters that will be used during their graduation ceremony. The children also engaged in outdoor gross motor play within the fenced playground. They were observed coming inside and completing toileting and handwashing routines prior to eating lunch. The facility was monitored for staff/child ratios, supervision, discipline, and health and safety requirements indoors and outdoors. The program requirements, along with equipment and furnishings were also observed. Compliance with staff records was documented by you and your new staff records, along with three (3) children’s records were reviewed today. This facility is not approved for transportation. There are children with medication in both classrooms and the permission to administer the medications were observed. A full assessment of applicable child care requirements was conducted today. The following violation of child care requirements was cited and must be corrected immediately. Technical assistance on how to maintain requirements 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. In space #1501 permission to administer an Epinephrine Injection, USP expired on 2-28-25. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 6-12-25 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: Medication Authorization: Any medication on the premises must be labeled with the child’s name, be accompanied by a permission slip (good for 6-months for asthma and allergy medication), 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, Maria Nelson (919) 291-2499 maria.nelson@wake.gov to schedule training on medications. • An updated summary of the law poster was emailed to you today. Please post in both classrooms the updated summary of the law poster. • Carefully review permission slips to ensure that parents have provided clear and specific instructions for administering medications. For example, one slip today stated, 'as needed for mild symptoms,' which lacks the necessary guidance on when to give the medication. Detailed instructions—such as administering the medication when wheezing, coughing, or hives appear, or after exposure to a particular food or substance that triggers an allergic reaction—should be clearly documented. • 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. 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. 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. 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 . • 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. • April 5-11, 2025 was the Week of the Young Child®, a chance to focus public attention on the needs of young children and their families and to recognize the early childhood programs and services that meet those needs. Get free materials on how early care and learning benefits N.C. in the Raise North Carolina Toolkit https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. Explore and download the free suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, videos, talking points and more to share with families and visitors. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • A suggestion was made to save the most recent child care requirements in Chapter 9 effective January 2025, to your desktop computer for easy access. • Advocacy doesn’t have to be scary. The most influential change happens when passionate people get together to push for progress on a grassroots level. The North Carolina Association for the Education of Young Children, https://ncaeyc.org/training-events/, Advocacy Circle is a safe space to team up with other early education professionals and discuss localized ways to help our profession thrive. The NCAEYC Advocacy Circle is open to all individuals passionate about early education in North Carolina. Join the webinar https://us02web.zoom.us/meeting/register/hQLDZgyzTMGRfM0SaPKP0A#/registration on June 10th at 12 noon to 1:00pm to learn more. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • 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 .0803 · Violation

Name of Operation: SOUTHEAST RALEIGH ELEMENTARY Facility ID: 92003650 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 25 Completed Date: 2/12/2025 Age: From 4 To 5 Total Minutes: 200 Time In: 10:40 AM Time Out: 02:00 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 8-14-20. The last annual compliance visit was conducted on 6-2-23. Today’s visit was conducted with you, Stacey Evans, lead teacher. Upon arrival to the facility, I was greeted by you. The children were in circle time where they discussed the letter of the week, letter “S” and they talked about buildings. One caregiver was observed reading a book about buildings. During circle time there was also discussion about classroom rules and friendships. After circle time the children went to interact in activity centers. Toileting and handwashing routines were completed during the visit. Today I did a walk-through visiting the two (2) classrooms where children are in care. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and your staff record documentation was monitored as a partial assessment of applicable child care requirements. Medication and permission to administer medication was monitored. 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 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 Ventolin HFA for a child in space #1505 was not available. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 2-26-25 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 suggestion that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name or a prescription label, 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 signed permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Lisa Terry (919) 795-3179 lisa.terry@wake.gov to schedule training on medications. • There instructions for the Emergency Medical Care Plan are posted in space #1505. You were emailed the one-page Emergency Medical Care Plan. Please update your Emergency Medical Care Plan to include names of staff in both classrooms that may be available to complete the items listed on the Emergency Medical Care Plan. • It is suggested that you add a sign on the cabinet door that reads “Emergency Medications Here.” • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or who have moved into the family child care home within five business days. The process of notifying the Division has changed and is now captured in the ABCMS Portal. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the ABCMS Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Access to the ABCMS requires the successful completion of the ABCMS Portal 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS Portal on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Detailed instructions to link you and the other staff were left with you today. 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 with the ABCMS Portal, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The 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/. Contact me if you have questions or concerns: Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: SOUTHEAST RALEIGH ELEMENTARY Facility ID: 92003650 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 25 Completed Date: 2/12/2025 Age: From 4 To 5 Total Minutes: 200 Time In: 10:40 AM Time Out: 02:00 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 8-14-20. The last annual compliance visit was conducted on 6-2-23. Today’s visit was conducted with you, Stacey Evans, lead teacher. Upon arrival to the facility, I was greeted by you. The children were in circle time where they discussed the letter of the week, letter “S” and they talked about buildings. One caregiver was observed reading a book about buildings. During circle time there was also discussion about classroom rules and friendships. After circle time the children went to interact in activity centers. Toileting and handwashing routines were completed during the visit. Today I did a walk-through visiting the two (2) classrooms where children are in care. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and your staff record documentation was monitored as a partial assessment of applicable child care requirements. Medication and permission to administer medication was monitored. 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 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 Ventolin HFA for a child in space #1505 was not available. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 2-26-25 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 suggestion that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name or a prescription label, 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 signed permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Lisa Terry (919) 795-3179 lisa.terry@wake.gov to schedule training on medications. • There instructions for the Emergency Medical Care Plan are posted in space #1505. You were emailed the one-page Emergency Medical Care Plan. Please update your Emergency Medical Care Plan to include names of staff in both classrooms that may be available to complete the items listed on the Emergency Medical Care Plan. • It is suggested that you add a sign on the cabinet door that reads “Emergency Medications Here.” • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or who have moved into the family child care home within five business days. The process of notifying the Division has changed and is now captured in the ABCMS Portal. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the ABCMS Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Access to the ABCMS requires the successful completion of the ABCMS Portal 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS Portal on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Detailed instructions to link you and the other staff were left with you today. 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 with the ABCMS Portal, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The 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/. Contact me if you have questions or concerns: Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SOUTHEAST RALEIGH ELEMENTARY Facility ID: 92003650 Consultant: BRIDGGETTE CAMPBELL Operation Type: Center Case Number: Visit Date: 2/12/2025 Number Present: 25 Completed Date: 2/12/2025 Age: From 4 To 5 Total Minutes: 200 Time In: 10:40 AM Time Out: 02:00 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 8-14-20. The last annual compliance visit was conducted on 6-2-23. Today’s visit was conducted with you, Stacey Evans, lead teacher. Upon arrival to the facility, I was greeted by you. The children were in circle time where they discussed the letter of the week, letter “S” and they talked about buildings. One caregiver was observed reading a book about buildings. During circle time there was also discussion about classroom rules and friendships. After circle time the children went to interact in activity centers. Toileting and handwashing routines were completed during the visit. Today I did a walk-through visiting the two (2) classrooms where children are in care. Compliance with capacity, supervision, discipline, attendance, program requirements, storage of hazardous substances, CPR & First Aid, permit restrictions, the required postings, and your staff record documentation was monitored as a partial assessment of applicable child care requirements. Medication and permission to administer medication was monitored. 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 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 Ventolin HFA for a child in space #1505 was not available. 10A NCAC 09 .0803(1)(a & b) The above violation must be corrected immediately and a letter must be sent to me no later than 2-26-25 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 suggestion that may be beneficial: Medication Authorization: Any medication on the premises must be labeled with the child’s name or a prescription label, 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 signed permission slip and it was suggested all staff complete training on administering medications. Contact your Child Care Health Consultant, Lisa Terry (919) 795-3179 lisa.terry@wake.gov to schedule training on medications. • There instructions for the Emergency Medical Care Plan are posted in space #1505. You were emailed the one-page Emergency Medical Care Plan. Please update your Emergency Medical Care Plan to include names of staff in both classrooms that may be available to complete the items listed on the Emergency Medical Care Plan. • It is suggested that you add a sign on the cabinet door that reads “Emergency Medications Here.” • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or who have moved into the family child care home within five business days. The process of notifying the Division has changed and is now captured in the ABCMS Portal. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the ABCMS Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Access to the ABCMS requires the successful completion of the ABCMS Portal 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. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS Portal on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Detailed instructions to link you and the other staff were left with you today. 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 with the ABCMS Portal, please contact the Child Care Criminal Background Check Unit at (919) 814-6401 or email at DCDEE_ABCMS_Provider@dhhs.nc.gov. • Hold harmless has been extended until the new Quality Rating Improvement System (QRIS) (Star Rated License System) rules are implemented. The Governor signed Senate Bill 425 (now Session Law 2024-34), which includes the Quality Rating Improvement System (QRIS) modifications recommended to the Legislature by the NC Child Care Commission to update QRIS and create additional pathways for licensed child care facilities to earn star rated licenses. The proposed child care rules are proposed to go into effect August 2025. There will be three pathways for the QRIS Modernization: program assessment, classroom and instructional quality, and national accreditation. The QRIS Modernization gives licensed centers and family child care homes more flexibility to demonstrate quality. The new framework aims to provide providers with the opportunity to shine for what they are confident and good at. If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Check out the QRIS Modernization page for videos, new resources and updates at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. • Did you know that if you do not login on to any of the DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. It is strongly suggested to set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. • The 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/. Contact me if you have questions or concerns: Bridggette Campbell PO Box 865, Knightdale, NC 27545-0865 bridggette.campbell@dhhs.nc.gov (919) 819-9357 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times