Kiddie Land Kindergarten, Inc.

10A NCAC 09 .2818 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: 0426-064L Visit Date: 4/16/2026 Number Present: 115 Completed Date: 4/16/2026 Age: From 0 To 5 Total Minutes: 167 Time In: 01:58 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Timika Peterson, Administrator, accompanied me during a walk-through of the facility. You stated there are 115 children aged zero to five years of age present in the facility today. Limited monitoring of other child care requirements was conducted. During the visit, I discussed the information with you, Timika Peterson, Administrator, and additional staff members. Based on information obtained, the following was determined. The report stated that on April 2, 2026, a parent witnessed one child inappropriately touch another child on the playground. I interviewed two staff members and reviewed three written statements regarding the incident. Information gathered indicated that on April 2, 2026, there were two groups of children on Playground 1 with two staff members. At approximately 4:31 pm, a parent picking up their children, witnessed one child inappropriately touching another child behind a playground structure and alerted teachers immediately. Two staff members stated that one staff member was on one side of the outdoor learning environment while the other staff member was on the opposite side of the playground right beside the structure. The staff member on the playground at the time of the incident indicated that the two children involved were in front of the structure having a disagreement. The staff member talked to both children regarding the disagreement and then watched them run behind the play structure laughing and playing. The staff member stated that the parent alerted staff members by yelling a few seconds after the two children ran around the playground structure. I requested to view video footage that captured the incident. We attempted to access the recording during today’s visit. However, the video storage expires after ten days. You stated that you have been in contact with the security company trying to get a copy of the footage. Based on information gathered from staff interviews and written statements, this self-report regarding supervision could not be confirmed. Unrelated to the self-report, in Space 3B, I observed one staff member with eight children one year of age. In Space 8B, I observed one staff member with twelve NC PreK children. There were two violations observed and cited during the visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3B, I observed one staff member with eight children one year of age. 10A NCAC 09 .2818 1775 NC Pre-K program staff/child ratios and group sizes were not met. In Space 8B, I observed one staff member with twelve NC Pre-K children four and five years of age. .3009 Technical Assistance: • During today’s visit, I recommended that a staff meeting is held with all staff members regarding the importance of maintaining staff/child ratios. To ensure that all classrooms remain in compliance with ratios, I suggested that a member of the administration team complete a walkthrough of each classroom hourly monitoring the classroom numbers. You corrected the violations today by moving two children from Space 3B and two children from space 8B to maintain enhanced ratios in all classrooms. You provided me with a written statement indicating that administrators would be performing staff/child ratio checks in 30-minute intervals and a weekly staff meeting will be held to educate all staff on ratios. Consultation: • Though staff members were positioned on opposite sides of the outdoor learning environment supervising children, I recommended that you remind staff members to continuously move around and scan the area as incidents can occur within seconds. You stated that all staff members are currently undergoing A+ Supervision training through Child Care Resources to help recognize common situations that pose risks to children. Due to ongoing violations regarding staff/child ratio, a more stringent Administrative Action may be recommended according to Child Care Rule .2200. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0902 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0102 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0514 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0701 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0801 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1003 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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

GS110-91 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/8/2026 Number Present: 102 Completed Date: 1/8/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:00 AM Time Out: 12:35 PM Time In: 01:45 PM Time Out: 05:15 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance Visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 76%. Deborah Howell, Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored four vehicles and required documents today. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on December 9, 2025, with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, family events, and volunteer opportunities. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been two new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 173 children enrolled. We monitored 18 children’s files today. The developmental screenings, health assessments, vision screenings, hearing screenings and dental screenings required for the NC Pre-K Program were monitored. The following violations were observed during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 9 and 8A, the activity plans were dated in December 2025 and activities observed taking place in the classrooms did not align with the activity plan posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles located in the food prep area between Space 1 and 2 were not labeled with the correct date. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In Space 1, there are eight (8) children under the age of 15 months enrolled and only five (5) feeding plans were located and posted in the classroom. In Space 2, there are eight (8) children under the age of 15 months enrolled and only three (3) feeding plans were located and posted in the classroom. 10A NCAC 09 .0902(a) 604 Lavatories were not kept clean, in good repair and kept free of storage. In Space 3 A/B, there were balls, blocks, books, and paper stored in the bathroom. 15A NCAC 18A .2818(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A storage building located on the playground used by children four and five years of age was left unlocked and contained bulk containers of bleach and cleaners. .2820(b) 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. One (1) staff member (DOH: 7/10/2002) did not have a medical report on file. One (1) staff member (DOH: 8/14/2025) had a medical report dated 6/14/2024. 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. One staff member (DOH: 10/8/2025) had a TB test completed on 12/19/2025. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. An employee's (DOH: 10/5/2022) health questionnaire was last completed on 8/28/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. An employee's (DOH: 10/5/2022) Emergency Information Form was last completed on 8/28/2024. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in First Aid. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member (DOH: 8/14/2025) has not completed certification in CPR. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The transportation binder did not include emergency and identifying information for seven (7) preschool children receiving daily transportation. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Thirty-five (35) children who receive daily transportation did not have written permission from a parent that included where the child was to be transported, expected time of departure and arrival, and the transportation provider. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. An employee (DOH: 7/10/2002) completed their last annual staff evaluation and staff development plan on 8/28/2024. 10A NCAC 09 .0514(f) 1303 Application was not signed by the parent. One (1) children (DOE: 8/19/2025) did not have the application signed by a parent. 10A NCAC 09 .0801(a) 1316 Emergency medical care information did not contain information needed for safe medical treatment. Four (4) children's (DOE: 1/18/17, 10/19/23, 9/8/25, and 11/17/25) emergency medical care information did not contain information needed for safe medical treatment. .0802 (c)(4) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Six (6) children's files (DOE: 3/21/22, 8/21/24, 10/19/23, 4/7/25, 9/8/25, 8/11/25) did not contain a medical exam or health assessment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two (2) children (DOE: 3/21/2022 and 10/19/2023) did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two (2) children (DOE: 8/6/2019 and 1/8/2018) did not have a signed and dated statement by a parent that the discipline policy was received and explained at enrollment. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The parent's statement regarding the Discipline Policy did not include the date of enrollment for one (1) child (DOE: 11/17/2025). .1804(b) 1328 Children's records were not made available for review. Two (2) children's records were not made available for review. One (1) folder contained blank forms. One (1) folder contained only the medical and immunization records. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. One (1) child's application (DOE: 8/19/2025) only had the name of the child listed on the form and did not include the parent's signature, the child's fears, any allergies/symptoms, unique behavior characteristics, health concerns, or individuals the child can be released to. .0801(a)(1-7) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 2, I observed six children under one year of age with one adult. 10A NCAC 09 .2818 1768 The health assessment did not include a hearing screening. The health assessment for one (1) child (DOE: 8/11/2025) did not include a hearing screening. .3005 (a)(4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Three (3) children's files (DOH: 8/21/24, 8/19/25, 4/7/25) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical Assistance: • It is crucial that staff/child ratios are maintained at all times to ensure safety. Today I suggested that staff members use their walkie talkie to notify administration when they have met the ratio in their classroom. During arrival, teachers may have to tell parents to wait a few minutes before dropping off their child so that arrangements can be made to maintain ratio in all classrooms. You stated that you had to move children around today due to an absence and all classrooms were in ratio at the end of my walkthrough. • Today we discussed the importance of using the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to children’s enrollment. We recommend that you do not put the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files where you can see it on a daily basis and develop a plan as to how to monitor the pending files for completeness. • When accepting documentation, review the information for accuracy and completeness. Ensure that the families write “NA” if a statement does not pertain to their child. If the child is missing required documentation, such as an application or medical form, inform the family that the child cannot attend the program until all information is received. Continue to use the Children’s File Checklist to monitor for compliance. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Today I suggested that you use the Transportation Permission form found on the DCDEE website under “Provider Documents and Forms” to ensure that all required information is listed. • When transporting children, emergency and identifying information must be in the vehicle and include the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form. You corrected item # 1124 today by placing the missing identifying and emergency information in the transportation binder. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When staff members access the outdoor storage building, it is important that they remember to lock the building after retrieving items that are needed. You have installed a new lock keypad; however, the building was left unlocked and accessible to children. Today I suggested that you change the code to the keypad and only allow members of the administration team to access the building so they can ensure it is locked. You corrected item # 840 today by locking the keypad on the storage building. • All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home must be labeled with the date received at the child care center and the name of the child. I suggested that staff members check bottles brought in from home to ensure they are labeled with the child’s name and date received prior to putting them in the refrigerator. You corrected item # 533 by recording the correct date on the bottles brought in today. • Infant feeding plans are required for all children under 15 months of age. This feeding plan must include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. When enrolling or transitioning children to and from the infant classrooms, ensure that the feeding plan is completed and posted for reference by the caregivers. Today you corrected item # 540 by making copies of the missing infant feeding plans and posting them in the classrooms. • To ensure health and sanitation, bathrooms should not be used for storage. Remind staff members that required items for toileting are the only items that should be kept in the bathrooms. The bathroom should not be used to store toys, books, paper, etc. • Each age group of children must have a current activity plan posted for reference by parents and by caregivers. To ensure that all activity plans are updated, I suggest that teachers change their activity plans prior to leaving on Fridays. I suggest that a member of the administration team conduct a walkthrough of each classroom on Monday to ensure all information is updated and posted as required. • When organizing and monitoring staff files, ensure that you use the Staff File Checklist that can be found on the DCDEE website under “Provider Documents and Forms” to ensure that you have all the required paperwork on file prior to an employee’s start date. I suggest that you do not let staff begin working until all paperwork and training is completed. Consultation: • Today we reviewed the definition of a volunteer. 10A NCAC 09 .0102 (56) defines a volunteer as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. The individual discussed during today’s visit meets the definition of a volunteer. Reimbursement for required training is not considered compensation. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 1/22/2026. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 108 Completed Date: 7/8/2025 Age: From 0 To 12 Total Minutes: 298 Time In: 09:22 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 81%. You, Timika Peterson, Director, assisted me with the visit. Your facility, owned by Kiddie Land Kindergarten, Inc. was active but not current with the NC Secretary of State as viewed on the NC Secretary of State Website today. You stated that Mr. Peterson will submit the annual report this week. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, and rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 9, 2025 with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. There has been one new staff member hired since the last visit. I monitored their completed file. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. H. Peterson’s qualification letter expired November 19, 2024. This violation must be corrected within fifteen (15) days and a copy of the qualification letter must be sent to me with the required compliance letter. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspections were completed on 3/9/2024 and 4/16/2025. The original approved report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 6, eleven (11) children were present and nine (9) children's arrival times were documented. 10A NCAC 09 .0302(d)(4) 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. In Space 8a, two electrical outlets not in use were not covered with a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building located on the playground used for children four and five years of age was unlocked and contained hazardous materials including bleach and cleansers. In Space 9, the disinfectant spray and sanitizer spray was stored on the counter below five feet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired on 11/19/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) First Aid certification expired on 3/21/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) CPR certification expired on 3/21/2025. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not notify the Division within five business days of an employee hired on 5/27/2025. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed or attached to the child's application for a child with asthma in Space 6. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 7, the medical action plan was last updated on 8/3/2023. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/27/2025 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: • To ensure the safety of children, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff members prior to providing care for children. A signed acknowledgement must be maintained in the staff’s file. Today you corrected the violation by reviewing the policy with the staff member, having the staff member sign the policy, and placing the signed acknowledgement in the staff’s file. • To keep staff members CPR and First Aid certifications current, I suggested adding a column on your tracking sheet system to include CPR and First Aid Training. You stated that the staff member was unable to make the last CPR/First Aid class and is scheduled to take the class on July 18, 2025. • To ensure the health and safety of children, all bleaches and cleaners must be stored in a locked room. When staff members obtain items from the storage building, it is important for staff to remember to lock the building after retrieving items that are needed. The violation was corrected today by locking the building on the playground used by children four and five years of age. In the classroom, sanitizer and disinfectant bottles must be kept above five feet. You stated that the hooks that hang the bottles were broken, and you immediately notified maintenance to fix this. The violation was corrected today by placing the bottles on shelf above five feet. • I suggested that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for all children. Today the violation was corrected by placing outlet covers in the two outlets that were not in use and did not have a safety plug in them. • It is essential that arrival and departure times are documented each morning and afternoon to ensure the safety of children. You stated that you are in the process of changing the sign in and out procedure to be completed through Procare. During this transition period, staff members are documenting arrival and departure times on a spreadsheet on their classroom computer. Today I suggested that the employee that walks them to the classroom states the child’s name and time as they enter the classroom to serve as a reminder to document the child’s arrival time. The violation was corrected today by documenting the arrival time of the two children who were not signed in. • Prior to accepting emergency medications, ensure that Medical Action Plans are completed and on file. Medical Actions Plans must be updated annually. I suggested that you put a note on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. • The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. You will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I showed you on the website how to access Moodle, ABCMS Provider Portal, and the ABCMS Provider Portal Guide. • To ensure qualification letters do not expire, implement a tracking system with reminders for upcoming expiration dates. You may utilize the ABCMS Provider Portal to track these dates. Prior to the expiration date of the qualification letter, the employee must submit the required forms and complete a criminal background check. • Child care rule 10A NCAC 09 .0304 requires a child care center operator to schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. To ensure that the fire inspection is completed within 12 months of the previous fire inspection, I suggest placing a reminder on your calendar to contact the fire inspector a month before the fire inspection is due. Ensure that you send me a copy of the fire inspection within one week of its completion. The violation was corrected today as the fire inspection has been completed and I have received a copy of the inspection. Consultation: • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 7/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 108 Completed Date: 7/8/2025 Age: From 0 To 12 Total Minutes: 298 Time In: 09:22 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 81%. You, Timika Peterson, Director, assisted me with the visit. Your facility, owned by Kiddie Land Kindergarten, Inc. was active but not current with the NC Secretary of State as viewed on the NC Secretary of State Website today. You stated that Mr. Peterson will submit the annual report this week. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, and rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 9, 2025 with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. There has been one new staff member hired since the last visit. I monitored their completed file. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. H. Peterson’s qualification letter expired November 19, 2024. This violation must be corrected within fifteen (15) days and a copy of the qualification letter must be sent to me with the required compliance letter. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspections were completed on 3/9/2024 and 4/16/2025. The original approved report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 6, eleven (11) children were present and nine (9) children's arrival times were documented. 10A NCAC 09 .0302(d)(4) 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. In Space 8a, two electrical outlets not in use were not covered with a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building located on the playground used for children four and five years of age was unlocked and contained hazardous materials including bleach and cleansers. In Space 9, the disinfectant spray and sanitizer spray was stored on the counter below five feet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired on 11/19/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) First Aid certification expired on 3/21/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) CPR certification expired on 3/21/2025. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not notify the Division within five business days of an employee hired on 5/27/2025. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed or attached to the child's application for a child with asthma in Space 6. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 7, the medical action plan was last updated on 8/3/2023. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/27/2025 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: • To ensure the safety of children, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff members prior to providing care for children. A signed acknowledgement must be maintained in the staff’s file. Today you corrected the violation by reviewing the policy with the staff member, having the staff member sign the policy, and placing the signed acknowledgement in the staff’s file. • To keep staff members CPR and First Aid certifications current, I suggested adding a column on your tracking sheet system to include CPR and First Aid Training. You stated that the staff member was unable to make the last CPR/First Aid class and is scheduled to take the class on July 18, 2025. • To ensure the health and safety of children, all bleaches and cleaners must be stored in a locked room. When staff members obtain items from the storage building, it is important for staff to remember to lock the building after retrieving items that are needed. The violation was corrected today by locking the building on the playground used by children four and five years of age. In the classroom, sanitizer and disinfectant bottles must be kept above five feet. You stated that the hooks that hang the bottles were broken, and you immediately notified maintenance to fix this. The violation was corrected today by placing the bottles on shelf above five feet. • I suggested that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for all children. Today the violation was corrected by placing outlet covers in the two outlets that were not in use and did not have a safety plug in them. • It is essential that arrival and departure times are documented each morning and afternoon to ensure the safety of children. You stated that you are in the process of changing the sign in and out procedure to be completed through Procare. During this transition period, staff members are documenting arrival and departure times on a spreadsheet on their classroom computer. Today I suggested that the employee that walks them to the classroom states the child’s name and time as they enter the classroom to serve as a reminder to document the child’s arrival time. The violation was corrected today by documenting the arrival time of the two children who were not signed in. • Prior to accepting emergency medications, ensure that Medical Action Plans are completed and on file. Medical Actions Plans must be updated annually. I suggested that you put a note on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. • The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. You will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I showed you on the website how to access Moodle, ABCMS Provider Portal, and the ABCMS Provider Portal Guide. • To ensure qualification letters do not expire, implement a tracking system with reminders for upcoming expiration dates. You may utilize the ABCMS Provider Portal to track these dates. Prior to the expiration date of the qualification letter, the employee must submit the required forms and complete a criminal background check. • Child care rule 10A NCAC 09 .0304 requires a child care center operator to schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. To ensure that the fire inspection is completed within 12 months of the previous fire inspection, I suggest placing a reminder on your calendar to contact the fire inspector a month before the fire inspection is due. Ensure that you send me a copy of the fire inspection within one week of its completion. The violation was corrected today as the fire inspection has been completed and I have received a copy of the inspection. Consultation: • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 7/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0304 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 108 Completed Date: 7/8/2025 Age: From 0 To 12 Total Minutes: 298 Time In: 09:22 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 81%. You, Timika Peterson, Director, assisted me with the visit. Your facility, owned by Kiddie Land Kindergarten, Inc. was active but not current with the NC Secretary of State as viewed on the NC Secretary of State Website today. You stated that Mr. Peterson will submit the annual report this week. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, and rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 9, 2025 with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. There has been one new staff member hired since the last visit. I monitored their completed file. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. H. Peterson’s qualification letter expired November 19, 2024. This violation must be corrected within fifteen (15) days and a copy of the qualification letter must be sent to me with the required compliance letter. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspections were completed on 3/9/2024 and 4/16/2025. The original approved report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 6, eleven (11) children were present and nine (9) children's arrival times were documented. 10A NCAC 09 .0302(d)(4) 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. In Space 8a, two electrical outlets not in use were not covered with a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building located on the playground used for children four and five years of age was unlocked and contained hazardous materials including bleach and cleansers. In Space 9, the disinfectant spray and sanitizer spray was stored on the counter below five feet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired on 11/19/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) First Aid certification expired on 3/21/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) CPR certification expired on 3/21/2025. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not notify the Division within five business days of an employee hired on 5/27/2025. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed or attached to the child's application for a child with asthma in Space 6. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 7, the medical action plan was last updated on 8/3/2023. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/27/2025 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: • To ensure the safety of children, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff members prior to providing care for children. A signed acknowledgement must be maintained in the staff’s file. Today you corrected the violation by reviewing the policy with the staff member, having the staff member sign the policy, and placing the signed acknowledgement in the staff’s file. • To keep staff members CPR and First Aid certifications current, I suggested adding a column on your tracking sheet system to include CPR and First Aid Training. You stated that the staff member was unable to make the last CPR/First Aid class and is scheduled to take the class on July 18, 2025. • To ensure the health and safety of children, all bleaches and cleaners must be stored in a locked room. When staff members obtain items from the storage building, it is important for staff to remember to lock the building after retrieving items that are needed. The violation was corrected today by locking the building on the playground used by children four and five years of age. In the classroom, sanitizer and disinfectant bottles must be kept above five feet. You stated that the hooks that hang the bottles were broken, and you immediately notified maintenance to fix this. The violation was corrected today by placing the bottles on shelf above five feet. • I suggested that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for all children. Today the violation was corrected by placing outlet covers in the two outlets that were not in use and did not have a safety plug in them. • It is essential that arrival and departure times are documented each morning and afternoon to ensure the safety of children. You stated that you are in the process of changing the sign in and out procedure to be completed through Procare. During this transition period, staff members are documenting arrival and departure times on a spreadsheet on their classroom computer. Today I suggested that the employee that walks them to the classroom states the child’s name and time as they enter the classroom to serve as a reminder to document the child’s arrival time. The violation was corrected today by documenting the arrival time of the two children who were not signed in. • Prior to accepting emergency medications, ensure that Medical Action Plans are completed and on file. Medical Actions Plans must be updated annually. I suggested that you put a note on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. • The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. You will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I showed you on the website how to access Moodle, ABCMS Provider Portal, and the ABCMS Provider Portal Guide. • To ensure qualification letters do not expire, implement a tracking system with reminders for upcoming expiration dates. You may utilize the ABCMS Provider Portal to track these dates. Prior to the expiration date of the qualification letter, the employee must submit the required forms and complete a criminal background check. • Child care rule 10A NCAC 09 .0304 requires a child care center operator to schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. To ensure that the fire inspection is completed within 12 months of the previous fire inspection, I suggest placing a reminder on your calendar to contact the fire inspector a month before the fire inspection is due. Ensure that you send me a copy of the fire inspection within one week of its completion. The violation was corrected today as the fire inspection has been completed and I have received a copy of the inspection. Consultation: • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 7/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/8/2025 Number Present: 108 Completed Date: 7/8/2025 Age: From 0 To 12 Total Minutes: 298 Time In: 09:22 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements. Your last Annual Compliance visit was conducted on January 30, 2025. Your facility’s compliance history score prior to today’s visit was 81%. You, Timika Peterson, Director, assisted me with the visit. Your facility, owned by Kiddie Land Kindergarten, Inc. was active but not current with the NC Secretary of State as viewed on the NC Secretary of State Website today. You stated that Mr. Peterson will submit the annual report this week. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, and rest time. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on May 9, 2025 with seven (7) demerits and a superior classification. A fire inspection was conducted on April 16, 2025. There has been one new staff member hired since the last visit. I monitored their completed file. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored in staff files. H. Peterson’s qualification letter expired November 19, 2024. This violation must be corrected within fifteen (15) days and a copy of the qualification letter must be sent to me with the required compliance letter. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspections were completed on 3/9/2024 and 4/16/2025. The original approved report was not submitted to DCDEE within one week of the inspection visit. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space 6, eleven (11) children were present and nine (9) children's arrival times were documented. 10A NCAC 09 .0302(d)(4) 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. In Space 8a, two electrical outlets not in use were not covered with a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building located on the playground used for children four and five years of age was unlocked and contained hazardous materials including bleach and cleansers. In Space 9, the disinfectant spray and sanitizer spray was stored on the counter below five feet. .2820(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member's qualification letter expired on 11/19/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) First Aid certification expired on 3/21/2025. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member's (DOH: 7/15/2016) CPR certification expired on 3/21/2025. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator did not notify the Division within five business days of an employee hired on 5/27/2025. G.S. 110-90.2 & .2703(r) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A medical action plan was not completed or attached to the child's application for a child with asthma in Space 6. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space 7, the medical action plan was last updated on 8/3/2023. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/27/2025 did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy maintained in their file. .0608(d)(1-4) Technical Assistance: • To ensure the safety of children, the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff members prior to providing care for children. A signed acknowledgement must be maintained in the staff’s file. Today you corrected the violation by reviewing the policy with the staff member, having the staff member sign the policy, and placing the signed acknowledgement in the staff’s file. • To keep staff members CPR and First Aid certifications current, I suggested adding a column on your tracking sheet system to include CPR and First Aid Training. You stated that the staff member was unable to make the last CPR/First Aid class and is scheduled to take the class on July 18, 2025. • To ensure the health and safety of children, all bleaches and cleaners must be stored in a locked room. When staff members obtain items from the storage building, it is important for staff to remember to lock the building after retrieving items that are needed. The violation was corrected today by locking the building on the playground used by children four and five years of age. In the classroom, sanitizer and disinfectant bottles must be kept above five feet. You stated that the hooks that hang the bottles were broken, and you immediately notified maintenance to fix this. The violation was corrected today by placing the bottles on shelf above five feet. • I suggested that staff members complete a daily walkthrough of their classrooms each morning prior to children arriving to ensure the area is free of safety hazards, such as uncovered outlets. This routine check helps maintain a safe environment for all children. Today the violation was corrected by placing outlet covers in the two outlets that were not in use and did not have a safety plug in them. • It is essential that arrival and departure times are documented each morning and afternoon to ensure the safety of children. You stated that you are in the process of changing the sign in and out procedure to be completed through Procare. During this transition period, staff members are documenting arrival and departure times on a spreadsheet on their classroom computer. Today I suggested that the employee that walks them to the classroom states the child’s name and time as they enter the classroom to serve as a reminder to document the child’s arrival time. The violation was corrected today by documenting the arrival time of the two children who were not signed in. • Prior to accepting emergency medications, ensure that Medical Action Plans are completed and on file. Medical Actions Plans must be updated annually. I suggested that you put a note on your calendar as a reminder to have parents or health care providers update all information to include current and accurate information. • The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. You will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Today I showed you on the website how to access Moodle, ABCMS Provider Portal, and the ABCMS Provider Portal Guide. • To ensure qualification letters do not expire, implement a tracking system with reminders for upcoming expiration dates. You may utilize the ABCMS Provider Portal to track these dates. Prior to the expiration date of the qualification letter, the employee must submit the required forms and complete a criminal background check. • Child care rule 10A NCAC 09 .0304 requires a child care center operator to schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. To ensure that the fire inspection is completed within 12 months of the previous fire inspection, I suggest placing a reminder on your calendar to contact the fire inspector a month before the fire inspection is due. Ensure that you send me a copy of the fire inspection within one week of its completion. The violation was corrected today as the fire inspection has been completed and I have received a copy of the inspection. Consultation: • DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 7/22/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 2/5/2025 Number Present: 105 Completed Date: 2/5/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 11:15 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to follow up on the violation regarding supervision cited on January 30, 2025. You, Timika Peterson, Director, assisted me with today’s visit. I monitored supervision, staff/child ratios, approved space, space capacity, and permit restrictions. I observed teachers moving around the room supervising and engaged with children. The following violation was observed and cited during today’s visit. Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. I observed one teacher supervising twelve children ages three and four years old for approximately one minute after my arrival in Space 6. 10A NCAC 09 .2818 Technical Assistance/Consultation: • Staff/child ratios must be maintained at all times. You stated that teachers are expected to use the walkie-talkie to request coverage before leaving the classroom for any reason. Today, I suggested that you speak with all staff members and instruct them to use the walkie-talkie to request assistance if another staff member leaves the room without calling for coverage. • To ensure supervision is maintained at all times, staff should complete a name-to-face check during every transition. Posting stop signs at doorways can serve as a visual reminder for children not to leave the classroom without an adult. Teachers can also read social stories about staying with an adult to reinforce safety. Today I observed that a door alarm has been installed on the classroom door which sounds when the door is open and closed to alert teachers when the door is opened. • To ensure arrival and departure times are accurately recorded, a member of the administration team can remind staff via walkie-talkie each morning and afternoon to document children’s attendance. • Today we discussed having teachers use a daily compliance checklist to maintain classroom standards. This checklist should include items such as verifying that the screen time log is completed, ensuring at least three different activities are available with enough materials for three children to participate, and conducting safety checks for hazardous materials both indoors and outdoors. • To ensure all staff and children’s records are up to date and maintained accurately, I suggest appointing a staff member to review a set number of files each week. Missing paperwork should be addressed before a child attends or a staff member begins work. Setting reminders via phone or email can help track when updates are needed. Due to the number of violations cited on January 30, 2025, an Administrative Action may be recommended according to Child Care Rule .2200. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/19/2025. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0304 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0514 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .0801 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1003 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 110-102 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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

GS110-91 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 102 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 515 Time In: 09:05 AM Time Out: 05:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance visit. Your last Annual Compliance visit was conducted on February 19, 2024. Your facility’s compliance history score prior to today’s visit was 87%. Carolyn Conley, Lead Child Care Consultant, accompanied me on today’s visit. You, Timika Peterson, Director, assisted me with the visit. I reviewed with you today the information found in our system. You stated there have been no changes to your phone number, email address, mailing address, administrator, or owner. I reviewed the facilities permit with you today. This facility operates with a five-star license and is licensed for 197 children on first shift, ages 0-12 with an effective date of January 10, 2018. The following restrictions are listed: first shift, meets enhanced ratios and space, and children under two and half years old in rooms with direct exits only Your facility, owned by Kiddie Land Kindergarten, Inc. was current and active with the NC Secretary of State as viewed on the NC Secretary of State Website today. I used the “Annual Compliance Monitoring Visit Checklist for Child Care Centers” during today’s visit. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, daily schedules, activity plans, staff-child ratio worksheets, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, handwashing routines, eating lunch, and during rest time. I remeasured space 8A and space 8B because the spaces have been altered and divided differently than the floor diagrams in the working file. -Space 8A used by school aged children has a capacity of nineteen children at thirty square feet per child. -Space 8B used by school aged children and children that are four to five years of age has a capacity of twenty-five children at thirty square feet per child. I will submit to you the Space Calculation Sheet and Floor Diagram in the near future. All medications and accompanying documentation were monitored. You stated that this program provides transportation. I monitored two of the four vehicles and required documents today. Two vehicles were in the shop and were unable to be monitored. I will monitor the two vehicles during the next visit. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on November 15, 2024, with eight (8) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. We observed attendance records to be current as required. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used, and Creative Curriculum is the curriculum used. Parent involvement activities include home visits, parent/teacher conferences, class celebrations and family orientation. The program uses Class Dojo as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. There have been five new staff members hired since the last visit. We monitored a portion of existing staff files during today’s visit. There are 152 children enrolled. We monitored fifteen children's records. Six of the fifteen children's files were missing various forms of required documentation. In addition, there were eight children enrolled that did not have any paperwork on file to review. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Three children files monitored did not have documentation that the parents/guardians received the Summary of Law. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child was not documented in Space 4. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. A child five years of age was observed in the hallway getting water from the water fountain without a staff member present. .1801(a)(1-5) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Space 4, two children were observed using the tablet for ten minutes. The teacher stated that she does not document screen time on a cumulative log or activity plan. .0510(d)(2)(A-C) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The storage building on the playground used by children four and five years of age was unlocked and contained bleach and OdoBan disinfectant. .2820(b) 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. One staff member was hired on 12/12/24 and did not complete the TB screening/test until 1/13/25. One staff member was hired on 12/9/24 and there was no documentation that she had TB screening/test completed. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. There was no record that a staff member that was hired on 10/25/24 has completed CPR training. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Seven children's emergency and identifying information did not include a photograph. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child's file that was monitored did not have the expected departure and arrival time documented. One child's file that was monitored did not include when and where the child was to be transported or the expected time of departure and arrival documented. .1003(i)(j) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member that was hired on 12/24/18 had a staff development plan and annual evaluation that was dated 2023. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. Two children files did not have applications on file. 10A NCAC 09 .0801(a) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. Two children did not have applications accessible and available to staff. .0801 (d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. There was no emergency medical information on file for two children. .0802(c) 1319 Medical authorizations were not accessible to staff. Two children files monitored did not have the required emergency information accessible to staff. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two children files monitored did have a health assessment on file. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child’s file did not have immunization records. 10A NCAC 09 .0302(d)(2) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children files monitored did not have documentation that the families received the Discipline Policy. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Three children files monitored did not have the enrollment date listed on the Discipline Policy. .1804(b) 1328 Children's records were not made available for review. Eight children's files were not made available to review during the visit. G.S. 110-91(9) 1329 Application for enrollment did not include all required information. Four children files did not have the health care needs listed. .0801(a)(1-7) 1534 Personnel records were not maintained on file in the timeframes given by Rule .2318(7). There were three staff files (hire dates: 12/3/07, 2/21/23 and 12/24/18) that no longer had their TB test results or their Medical Statements in their files. .2318 (7) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children files monitored did not have documentation the families received the Shaken Baby Policy. One child’s file did not include the date on the policy. .0608(b)(1-6) Technical Assistance: • To promote the health and safety of all children, it is essential that arrival and departure times are documented. Today we discussed posting a reminder on the door to remind families or staff transporting children to the classroom to sign the child in upon arrival. Classroom staff should verify this is completed after each entry to ensure accurate daily documentation of arrival times. Staff corrected this violation today by documenting the arrival time of the child that was missing documentation. • When screen time is provided on any electronic device with a visual display, it must be documented on a cumulative log or activity plan. Today, I printed out a Screen Time Log, which can be found on the Division’s website under Provider Documents and Forms. We discussed placing the Screen Time Log near the tablets or laptop displaying videos to serve as a reminder that it needs to be completed. • I discussed with staff members that work with children four years and five years of age the language area is required to have at least three different language activities and enough materials for each activity so that at least three children can be involved with that activity and materials. • To ensure the health and safety of children, all bleaches and cleansers must be stored in a locked room. When maintenance is being completed outside, it is important for staff to remember to lock the building after retrieving items that are needed. Staff corrected this violation today by locking the building on the playground used by children four and five years of age. • It is crucial that children are supervised at all times to maintain safety. We discussed using a name to face checklist during all transitions to ensure that every child is accounted for in the classroom. The teacher discussed with the child that they can obtain water in the classroom and must remain with an adult at all times. • Prior to providing transportation, written permission from a parent must be obtained and include when and where the child is to be transported and the expected time of departure and arrival. The emergency and identifying information must also include a photograph of the child. We discussed having the bus driver check all required documentation prior to transporting a new child added to their route. • Post when staffs’ annual evaluations and staff development plans are due as a visual reminder. Remember to print off, place in the staffs’ files and check off that it has been completed and when the next due date will be. • Register new staff member as soon as you hire them for CPR/First Aid training to ensure that it is completed within the first 90 days of the hire date. • Please Review CC RULE .2318 which addresses record retention. Staffs’ TB results and medical statements are required to be on file and retained until 12 months after the staffs’ last date of employment. • Do not hire staff until they give you a copy of their medical statement and TB screening/test. They are required by the first day of hire and they can be no older than 12 months from the date of hire. Include this requirement in your hire packet or doing the interview. • It is important to use the Children’s File Checklist that can be found on the DCDEE website under “Provider Documents” to ensure that you have all the required paperwork prior to the children beginning enrollment. Do not file the children’s files in the designated file cabinet until you have everything in the file. Designate another place to put pending files and develop a plan as to how to monitor the pending files for completeness. • Remind families when they are completing the applications to write “NA” if a statement does not pertain to their child. Consultation: • 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 moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. 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 in 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. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Child care rule 10A NCAC 09 .0304 which requires a child care center operator to: schedule and obtain a fire inspection within 12 months of the center's previous fire inspection, to notify the local fire inspector when it is time for the center's annual fire inspection, and to submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • While children are in care, remove the commercial Orkin mouse trap on the playground used by children two and three years of age. Although the boxes are weather and tamper resistant, the boxes can still be picked up by children. • You are utilizing a verification form to indicate that parents have received all information. We suggested that you add the enrollment date on this form to indicate that information is received in a timely manner. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/13/25. Your compliance documentation must include the following: • The name of your facility • The ID number of your facility • The date you write the letter • A corrective action statement for each violation stating how you corrected the violation and are now in compliance. • A compliance plan statement for each violation stating how you plan to ensure that you will not have that violation again. • Your signature Please mail or email a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: ASHLYNN VAUGHAN Operation Type: Center Case Number: Visit Date: 7/31/2024 Number Present: 120 Completed Date: 7/31/2024 Age: From 0 To 12 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced visit. Your last Annual Compliance visit was conducted on 2/19/2024. You, Timika Peterson, Owner/Administrator, assisted me with the visit. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. You have submitted a plan for reinstating the corporation status. An administrative action may be issued if the corporation status does not get resolved in a timely manner. Your facility’s compliance history score prior to today’s visit was 85%. I observed your Five-Star License, NC Child Care Summary of the Law, menu, Emergency Medical Care Plan, Sanitation placard, staff-child ratio worksheet, First Aid poster, tobacco free policy signage and evacuation plans posted as required. Child to staff ratios, group size, supervision, permit restrictions, and adequate and approved space were monitored. A walk-through of the indoor and outdoor spaces was completed. I observed the children participating in free choice activities indoors and outdoors, teacher-directed activities, and lunch. All medications and accompanying documentation were monitored. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. A sanitation inspection was conducted on June 26, 2024, with four (4) demerits and a superior classification. A fire inspection was conducted on March 9, 2024. There have been no new staff members hired since the last visit. Criminal Background Checks, CPR/First Aid, Recognizing and Responding to Suspicions of Child Maltreatment, ITS SIDS, and BSAC trainings were monitored. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Space 3A, one Medication Administration Permission Form did not include dates for permission to administer. 10A NCAC 09 .0803(4)(6-9) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 1/26/2024 did not have CPR training. .1102(d) Technical Assistance: • To ensure all staff members complete CPR training within 90 days of employment, implement a tracking system using a spreadsheet to monitor each employee’s due dates. • Staff members should thoroughly review the Medication Administration Permission Form to verify all required information is included prior to accepting medication. Consultation: • LEAD WATER TESTING: Centers must have a lead water test completed prior to licensure, and every three years. If your facility is due for the three year lead water test, please request the testing at https://data.cleanwaterforuskids.org/data/north-carolina. • LEAD PAINT/ASBESTOS TESTING: Centers should have registered for lead paint/asbestos testing by May 1, 2024. Facilities that have not yet enrolled should complete the online registration process for lead paint/asbestos testing by November 1, 2024 at https://data.cleanwaterforuskids.org/data/north-carolina. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. • Kimberly Cruz, Child Care Health Consultant, is available to provide trainings and technical assistance for your teachers and children. Here email address is kimberly.cruz@rowancountync.gov and her phone number is 704-216-8806. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 8/14/2024, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .0514 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .0515 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .0701 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .1003 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 110-102 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 2/19/2024 Number Present: 94 Completed Date: 2/19/2024 Age: From 0 To 5 Total Minutes: 405 Time In: 09:45 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this visit is to monitor compliance with applicable child care requirements. The last Annual Compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018, and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. This facility will be in Cohort One and will go the rated license process between July 2024 and June 2025. The 18-month compliance history prior to today’s visit was at 86%. The Secretary of State’s (SOS) website was monitored, and KIDDIE LAND KINDERGARTEN, INC. has been suspended. On February 16, 2024, I received an email from Herman Peterson, owner, that he is aware of this suspension and has contacted the SOS office and is in the process of resolving this issue. I requested that he submit a letter to me outlining his plan to resolve this suspension on the Facility’s letter head with his signature. Upon arrival, I was greeted by you, Timika Peterson, Owner/Administrator, and Ms. Geathers, Administrative Assistant and I stated the reason for my visit. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. I observed the children during free choice activities indoors and outdoors, hand washing routines, lunch nap time and departure procedures. I observed child to staff ratios, group size and supervision. You stated that this program provides transportation, and you sent me documents prior to today’s visit. We monitored the vehicle today. I monitored the emergency drill report and the outdoor inspections. I monitored the outdoor play area. A fire inspection was completed on February 24, 2023. A sanitation inspection was completed on December 15, 2023, with eight demerits and a superior rating. There has been four new staff hired since my last visit. I monitored their files and a portion of the other staff files. Prior to today's visit, the Program Consultant Site Visit Information Report was reviewed in the NC Pre-K Plan system. Staff listed on the report are staff that were in the classroom. You stated that the Ages and Stages Questionnaire is used for the developmental screening tool, Teaching Strategies Gold is the on-going assessment used and Creative Curriculum is the curriculum used. Parent involvement activities include class celebrations and festivals, parent/teacher conferences and family orientation. The program uses Class DOJO as a communication tool with families. You stated the NC Pre-K Program hours for the children are 8:00 to 2:45 and the staff hours are 7:30-3:30. I will return to monitor a portion of the children's files, the vehicles used for transporting children and the transportation documents. The following violations were observed during today’s visit. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five out of the 16 children files monitored did not have signed acknowledgement of receiving the summary of the law. GS 110-102 428 A current activity plan was not posted for each group of children for reference. The classroom that is used by the children two years of age had a lesson plan that was posted for the week of 2/5/24. Staff stated that they did not have a current plan. GS 110-91(12); .0508(a) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. The NC Pre-K classroom KL01 did not have a gross motor activity listed for Tuesday-Friday. The two rooms by School-aged children did not have daily gross motor activities listed on their plans. .0508(g)(3) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outside of the door to the outdoor play area for the toddler aged children has rusted areas and areas peeling off on the bottom of the door. 15A NCAC 18A .2825(a) 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. There was an electrical outlet that was not covered in the classroom used by the older school-aged children. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The suburban and van used to transport children had the following inside: aerosol sprays, hand sanitizer, deicer and windshield cleaner fluids. They also had first aid kids with the following inside: alcohol wipes, antiseptic ibuprofen, aspirin. .2820(b) 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. A staff member that was hired on 1/26/24 did not have a medical report in their file. 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. A staff member that was hired on 1/10/24 did not have a TB test/screening in their file. A 1/26/24 staff member that was hired on 1/10/24 did not have a TB test/screening in their file. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member that was hired on 11/17/21 is required to complete 20 hours of training a year. Last year she needed an additional 12 hours by 3/18/23 and needs an additional 9 for this annual compliance visit. She needs 21 additional hours immediately. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The tag on the bus used to transport children expired in October 2023. .1002(b) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The Suburban used for transporting children did not have a fire extinguisher. 10A NCAC 09 .1003(c) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One out of the 16 children's files monitored did not have documentation of discussing the parent participation plan. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1314 Emergency information did not name child's health care professional. One out of the 16 children's files monitored did not have a choice of health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One out of the 16 children's files monitored did not have a medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One out of the 16 children's files monitored did not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1328 Children's records were not made available for review. Seven children’s files were not available for review during the visit. G.S. 110-91(9) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Two out of the 16 children's files monitored did not have documentation that the family received the tobacco restriction policy. .0604(j) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two of the files monitored had no documentation that they have redone the training topics with the five years. One staff member completed them 4/25/17. The staff and training worksheet had it listed that a staff member completed the training topics with a date of 11/1/21 but there was no record of the completed trainings. Another staff member last completed the Recognizing and Responding to Suspicions of Child Maltreatment on 4/25/17. .1103(b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two out of the 16 children's files monitored did not have documentation that the received the above policy. .0608(b)(1-6) TECHNICAL ASSITANCE: -Don’t hire new staff until they are able to give you their latest medical and TB screening/test. Neither can be older than 12 months from date of hire. -It is important to have a plan in place to ensure that lesson plans are current in each classroom. Have staff turn in their lesson plans for review one prior to posting it. At the close of the business day at the end of week have staff post for the following week. Delegate one of the closing teachers to monitor the classrooms to assure it is posted. -We discussed that staff need to list at least one specific gross motor activity daily. They cannot list “free choice” on the activity plan because children always have free choice. -Prior to children arriving each morning conduct a walkthrough of the facility to ensure that all electrical outlets are covered. Have staff do this as well as they arrive. -The outdoor play area should be monitored daily prior for safety hazards prior to children playing outside. All trash (paper, wrappers, cans, tissues, masks, plastic cups, etc.) needs to be picked up and thrown away. -We discussed that if it says “Keep out of Reach of Children” it needs be locked storage or removed from all vehicles. -Place a reminder in your phone or on your calendar to monitor the extinguisher in vehicles to assure they are in there and are not expired. You could do this the day the fire inspector conducts their inspection. -Use the Children’s File Checklist located on the DCDEE website to ensure that all children’s files are the required information. Have a pending file for children’s files you are waiting on information. Don’t’ place in permanent file until all documents are completed and received. Explain to families prior to enrollment what they need to complete and turn in. Develop a checklist for families to use and remind them if there is a blank then there should be something written. If it doesn’t pertain to their child, they can write “N/A. -Place on phone or calendar reminder dates for inspection due dates for the vehicle used for transporting children. -Conduct a child’s file count monthly to ensure that all files are accounted for. Have a designated area in which children’s file can be reviewed. This may prevent files from being misplaced. Consultation: -Any new staff that is hired to work with school aged children will need to complete BSAC training within their first three months of employment. -The annual emergency information form for staff should be kept in the personnel file for easy access in care of an emergency. -We discussed any new shelfing or hanging baskets that are added to store the cleansing sprays in bathrooms or near diapering areas will need to be hung at least five feet from the floor. Keep in mind, you will want to make sure to measure more than feet to take into consideration where the hanger hook is located. There are times the once the shelf or basket are attached the wall at may be less than five feet due to where the hanger hook is located. -Swings need to have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing needs be to the front and rear of the swing. Tot swings need to have protective surfacing that extends two times the length of the pivot point to the bottom of the swing seat. The surfacing needs to be to the front and rear of the swing. Tot swings are defined as swings with enclosed seats. -Other than swings all other stationary equipment to have 6 feet of surfacing around the equipment. This “bubble” area cannot be shared with other pieces of equipment. -You can go to the FMCSA.gov website to determine do see if you need an NCDOT#. There is a digital questionnaire that will lead you to determine what is required based on your vehicle and what it is used for. It will then determine if you need an NCDOT or a federal DOT# if they ever cross state lines. Both of these #’s are FREE. IF you need further assistance, you can call 1-800-832-5660. -We discussed line item seven on the Staff and Training Worksheet concerning the “Date Change of Information” form. This will need to be completed and submitted to the CBC Unit within five days of hire. This is for new staff that come to you with a CBC qualification letter. The unit will do a check to assure that the staff member stills qualify. We discussed that the form is located under “Provider Documents” on the DCDEE website. You located the form during my visit and printed a copy of it to remind you of this task. -We discussed daily gross motor activities and for staff to be specific on what activities they are providing whether indoors or outdoors. -We discussed with the staff member that works with the children one year of age about outdoor time and how children are required to go outside weather permitting. She stated that she did not take the children out in the morning due to puddles. She stated that she would take the children outside in the afternoon which will take time for the puddles to dry up. -Remind staff to monitor the Staff/Child ratio signs to ensure that is reflective of the ages of children in their care. We discussed that this may midway through the year due to birthdays. -We observed children outside wiping their noses and placing used tissues and a sealed container. We discussed that staff members can take out hand-sanitizer for the children to use after wiping their noses. The hand sanitizer will need to be “on the person” of the staff member or stored at least five feet from the ground. - Contact Jennifer Misenheimer, Early Education Program Lead at Smart Start Rowan, at (704) 603-3351 for technical assistance as you prepare for the rated license process. -Visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There is training and resources available for the Environmental Rating Scale (ERS) assessments. -Place the no tobacco use sign on the dashboard in the Suburban instead of the sun visor so that it is visible. You don’t need to adhere it to the dashboard so that way it can be removed when not transporting children. -Make sure that on the children’s applications that the enrollment date, date of application, administrator’s signature and date signed are completed on each application. -Make sure that all documents/policies in children’s files are fully completed with all information. Including name of the facility and date policy was adopted. The documentation was completed electronically and I emailed you the summary. You printed the document and we reviewed it prior to signing the document. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed, and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by March 4, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .0701 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 92 Completed Date: 8/17/2023 Age: From 0 To 4 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last annual compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018 and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. The 18 month compliance history prior to today’s visit was at 85%. This facility is in Cohort One and will complete the rated license process during the fiscal year of 2024/2025. Upon arrival, I was greeted by you, Tamika Peterson, Administrator and Catrees Geathers, Administrative Assistant. I observed the children during arrival procedures, hand-washing routines, diaper changing routine, teacher directed activities at the tables, group time, transitioning to outside and fee choice activities indoors. I observed positive interactions between staff and children. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, ITS-SIDS training, general safety, discipline, Emergency Medical Care Plan, administering of medication, storage of hazardous products and medications, adequate/approved space, program records, posted license and restrictions met. Emergency drills, fire drills and outdoor inspections are documented and are occurring as required. A fire inspection was completed on December 7, 2022. A sanitation inspection was completed on February 13, 2023, with nine demerits and a superior rating. There were 92 children present during today’s visit. There are two volunteers that have begun employment today and their files were monitored. They are no other new staff hired since my last visit. The following violations were observed during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There was Aquafor in the locked medicine box for a child but not authorization form. .0803(12) 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. There are two staff that began compensated employment today, 8/17/23, and did have medical reports on file. 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. There were two staff members that began compensated employment today, 8/17/23. One did not have TB results or screening and the other had it on file that was completed in 2019. .0701(a) TECHNICAL ASSISTANCE/RESOURCES/REMINNDERS: -Child RULE .0102 defines "Uncompensated provider" as a person who works in a child care facility and is counted in staff/child ratio or has unsupervised contact with children, but who is not monetarily compensated by the facility. Any uncompensated provider must be at least 18 years of age and literate. A "Volunteer" is defined as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Remind staff to be label readers when monitoring their first aid kits. They cannot keep antiseptic wipes or anything that says “Keep Out of Reach of Children” in the kits. -I discussed with staff that work in the classroom with children two years of age that they will need to tighten the chain lock so that children are unable to get their hands between the doors. This was done during my visit today. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. I also sent an email about this resource on April 4th. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by August 31, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I provided you with a printed copy of today’s visit summary by email. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Kris Updike at kris.updike@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .2200 · Violation

Name of Operation: KIDDIE LAND KINDERGARTEN, INC. Facility ID: 80000138 Consultant: CAROLYN CONLEY Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 92 Completed Date: 8/17/2023 Age: From 0 To 4 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last annual compliance visit was conducted on March 9, 2023. The ERS assessments were conducted in July 2017. The facility’s license has an effective date of January 10, 2018 and has the following restrictions listed: meets enhanced ratios and space and children under two and a half years old in rooms with direct exists only. The 18 month compliance history prior to today’s visit was at 85%. This facility is in Cohort One and will complete the rated license process during the fiscal year of 2024/2025. Upon arrival, I was greeted by you, Tamika Peterson, Administrator and Catrees Geathers, Administrative Assistant. I observed the children during arrival procedures, hand-washing routines, diaper changing routine, teacher directed activities at the tables, group time, transitioning to outside and fee choice activities indoors. I observed positive interactions between staff and children. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, special training, criminal background checks completed, ITS-SIDS training, general safety, discipline, Emergency Medical Care Plan, administering of medication, storage of hazardous products and medications, adequate/approved space, program records, posted license and restrictions met. Emergency drills, fire drills and outdoor inspections are documented and are occurring as required. A fire inspection was completed on December 7, 2022. A sanitation inspection was completed on February 13, 2023, with nine demerits and a superior rating. There were 92 children present during today’s visit. There are two volunteers that have begun employment today and their files were monitored. They are no other new staff hired since my last visit. The following violations were observed during today’s visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. There was Aquafor in the locked medicine box for a child but not authorization form. .0803(12) 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. There are two staff that began compensated employment today, 8/17/23, and did have medical reports on file. 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. There were two staff members that began compensated employment today, 8/17/23. One did not have TB results or screening and the other had it on file that was completed in 2019. .0701(a) TECHNICAL ASSISTANCE/RESOURCES/REMINNDERS: -Child RULE .0102 defines "Uncompensated provider" as a person who works in a child care facility and is counted in staff/child ratio or has unsupervised contact with children, but who is not monetarily compensated by the facility. Any uncompensated provider must be at least 18 years of age and literate. A "Volunteer" is defined as a person who works in a child care facility and is not counted in staff/child ratio, does not have unsupervised contact with children, and is not monetarily compensated by the facility. A person who is at least 13 years of age, but less than 16 years of age, may work on a volunteer basis, as long as he or she is supervised by and works with a staff person who is at least 21 years of age and meets staff qualification requirements. -Remind staff to be label readers when monitoring their first aid kits. They cannot keep antiseptic wipes or anything that says “Keep Out of Reach of Children” in the kits. -I discussed with staff that work in the classroom with children two years of age that they will need to tighten the chain lock so that children are unable to get their hands between the doors. This was done during my visit today. -Kimberly Cruz, Child Care Health Consultant, is available for assistance with health education for staff and children. You can reach her at kimberly.cruz@rowancountync.gov or704-216-8806. -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. I also sent an email about this resource on April 4th. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by August 31, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. The documentation was completed electronically and reviewed with you during the visit. I provided you with a printed copy of today’s visit summary by email. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Kris Updike at kris.updike@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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