Sanford Child Care, Inc.

10A NCAC 09 .0514 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 5/15/2026 Number Present: 16 Completed Date: 5/15/2026 Age: From 0 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual rated license compliance visit. Barbara Byrd, administrator, assisted me with the visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. The last annual compliance visit was conducted on July 1, 2025. The last sanitation inspection was conducted on August 28, 2025. The last fire inspection was conducted on October 9, 2025. The program compliance history was ninety-three (93) percent as of 5/14/2026 and was reviewed with Mrs. Byrd. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and personal care routines. Teachers were interacting with the children and attending to their needs. Lunch was observed and consisted of bologna and cheese sandwich, bananas, carrots and milk. The following violations were observed during the visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. D. Flack and D. Alston had annual evaluations and development plans that expired in 2/2025 and 3/2025. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2026, (an extra day given due to the upcoming holidayI must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, NC DCDEE Attn: Turkeshia McCormick, 2201 Mail Service Center, Raleigh, NC 27699-2200, or 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was offered on the importance of ensuring that all forms are complete and on file prior to placing medications in their original containers into locked cabinets in the center. Medical action plans are required when a child has a chronic medical condition that requires it to possibly be administered while the child is in care at the facility. Along with that medical action form, permission to administer form needs to be completed and on file so that the medication can be safely administered if needed. If the medication has both forms on file and has been administered, then a medication log needs to be completed as required. These things are put in place to not only ensure that the medication is administered properly when needed but also as possible a safeguard for staff if it is followed as it should be. The medication is also required to be in its original container. This ensures that the right child is receiving the correct medication that is prescribed to them. Technical assistance was also offered on the ECERS-3: Teachers were encouraged to incorporate open-ended questions and conversations to extend children's thinking while in the activity areas. Such as, during book reading you can ask "What do you think is going to happen next? Why?" or "What would you do if you were in this story?" These types of questions encourage children to explain their thinking and promote problem-solving skills. QRIS Pathways to the Stars- During today’s visit, I reviewed the following : • Completed and signed Application • Family and Community Engagement Standards for Child Care Center with 4 additional options selected • Completed and signed Facility Continuous Quality Improvement (CQI) Plan • Completed and signed Self-Study Verification Form • Environment Rating Scale (ERS) Assessment Request • Completed Staff Information and Education Worksheet I verified the following during today’s visit: • The program is meeting enhanced staff/child ratios • The program is meeting enhanced space • The program is using an approved curriculum-Creative Curriculum/Teaching Strategies The program completed ITERS-3 Outreach Assessments on 11/6/2025. The program also completed SACERS-U ON 10/29/2026. The program also completed an ECERS-3 Outreach Assessment on 10/30/2025. I will request the ITERS-3, ECERS-3 and SACERS-U for licensure upon the completion of once the violations that were cited during this visit have been corrected. I verified the following education status prior to today’s visit: Lead Teachers- D. Alston- meets 4-star education standard, D. Newell - meets 4-star education standard and K. Young will need to submit her transcripts 5-star education. Other Educators- Administrator- D. Flack- meets 4-star education standard. B. Byrd will meet a 4 star education standard as an administrator but will be enrolling in classes in the fall. Upon completion of the ECERS-3 for licensure and another review of your staff education, you will be informed of the star rating obtained. If you have any questions, please contact me at Turkeshia.mccormick@dhhs.nc.gov or at (910) 708-0895. You may also contact Licensing Supervisor, Janet Edwards at janet.edwards@dhhs.nc.gov or by phone at (910) 709-4160. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 5/15/2026 Number Present: 16 Completed Date: 5/15/2026 Age: From 0 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual rated license compliance visit. Barbara Byrd, administrator, assisted me with the visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. The last annual compliance visit was conducted on July 1, 2025. The last sanitation inspection was conducted on August 28, 2025. The last fire inspection was conducted on October 9, 2025. The program compliance history was ninety-three (93) percent as of 5/14/2026 and was reviewed with Mrs. Byrd. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and personal care routines. Teachers were interacting with the children and attending to their needs. Lunch was observed and consisted of bologna and cheese sandwich, bananas, carrots and milk. The following violations were observed during the visit: Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. D. Flack and D. Alston had annual evaluations and development plans that expired in 2/2025 and 3/2025. 10A NCAC 09 .0514(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 30, 2026, (an extra day given due to the upcoming holidayI must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, NC DCDEE Attn: Turkeshia McCormick, 2201 Mail Service Center, Raleigh, NC 27699-2200, or 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was offered on the importance of ensuring that all forms are complete and on file prior to placing medications in their original containers into locked cabinets in the center. Medical action plans are required when a child has a chronic medical condition that requires it to possibly be administered while the child is in care at the facility. Along with that medical action form, permission to administer form needs to be completed and on file so that the medication can be safely administered if needed. If the medication has both forms on file and has been administered, then a medication log needs to be completed as required. These things are put in place to not only ensure that the medication is administered properly when needed but also as possible a safeguard for staff if it is followed as it should be. The medication is also required to be in its original container. This ensures that the right child is receiving the correct medication that is prescribed to them. Technical assistance was also offered on the ECERS-3: Teachers were encouraged to incorporate open-ended questions and conversations to extend children's thinking while in the activity areas. Such as, during book reading you can ask "What do you think is going to happen next? Why?" or "What would you do if you were in this story?" These types of questions encourage children to explain their thinking and promote problem-solving skills. QRIS Pathways to the Stars- During today’s visit, I reviewed the following : • Completed and signed Application • Family and Community Engagement Standards for Child Care Center with 4 additional options selected • Completed and signed Facility Continuous Quality Improvement (CQI) Plan • Completed and signed Self-Study Verification Form • Environment Rating Scale (ERS) Assessment Request • Completed Staff Information and Education Worksheet I verified the following during today’s visit: • The program is meeting enhanced staff/child ratios • The program is meeting enhanced space • The program is using an approved curriculum-Creative Curriculum/Teaching Strategies The program completed ITERS-3 Outreach Assessments on 11/6/2025. The program also completed SACERS-U ON 10/29/2026. The program also completed an ECERS-3 Outreach Assessment on 10/30/2025. I will request the ITERS-3, ECERS-3 and SACERS-U for licensure upon the completion of once the violations that were cited during this visit have been corrected. I verified the following education status prior to today’s visit: Lead Teachers- D. Alston- meets 4-star education standard, D. Newell - meets 4-star education standard and K. Young will need to submit her transcripts 5-star education. Other Educators- Administrator- D. Flack- meets 4-star education standard. B. Byrd will meet a 4 star education standard as an administrator but will be enrolling in classes in the fall. Upon completion of the ECERS-3 for licensure and another review of your staff education, you will be informed of the star rating obtained. If you have any questions, please contact me at Turkeshia.mccormick@dhhs.nc.gov or at (910) 708-0895. You may also contact Licensing Supervisor, Janet Edwards at janet.edwards@dhhs.nc.gov or by phone at (910) 709-4160. 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: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 7/1/2025 Number Present: 25 Completed Date: 7/1/2025 Age: From 0 To 12 Total Minutes: 145 Time In: 09:00 AM Time Out: 11:25 AM 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 for an annual compliance visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. Barbara Byrd, administrator, assisted me with the visit. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was conducted on March 27, 2025, earning an approved rating. The last fire inspection was conducted on October 10, 2024. The program compliance history was ninety-seven (97) percent as of 7/9/2024. The NC Secretary of State website was reviewed on July 1, 2025 and Sanford Child Care Center, Inc. was listed as current- active. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and routines such as diapering, toileting and handwashing and eating lunch. One infant enrolled was observed engaged in free play and personal care routines. Lunch today consisted of corn dogs, corn, peaches, rolls and milk. The following violations were cited during the visit: Violation Number Comment Rule 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. J. Farrish who began employment on 6/12/2024 does not have First Aid training on file. .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. J. Farrish who began employment on 6/10/2025 does not have the CPR training on file. .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 facility currently only has 2 former employees listed in ABCMS. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The facility had a lockdown drill on 1/2/2025 and again on 5/15/2025. .0604(u);.0302(d)(8) 1898 Staff did not complete the health and safety training within one year of employment. J. Farrish began employment on 6/12/2024 and did not have completed health and safety trainings on file. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Any extra day was given due to the upcoming Holiday. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was offered on the importance of maintaining periodically viewing staff files to ensure that required documentation during the first 90 day period has been completed and filed. It was also offered on ABCMS. 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. You have already completed the training therefore your next step is to use the ABCMS Provider Portal to update information regarding new hires or residents. 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. Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Mrs. Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc. if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 7/1/2025 Number Present: 25 Completed Date: 7/1/2025 Age: From 0 To 12 Total Minutes: 145 Time In: 09:00 AM Time Out: 11:25 AM 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 for an annual compliance visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. Barbara Byrd, administrator, assisted me with the visit. The last annual compliance visit was conducted on July 10, 2024. The last sanitation inspection was conducted on March 27, 2025, earning an approved rating. The last fire inspection was conducted on October 10, 2024. The program compliance history was ninety-seven (97) percent as of 7/9/2024. The NC Secretary of State website was reviewed on July 1, 2025 and Sanford Child Care Center, Inc. was listed as current- active. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and routines such as diapering, toileting and handwashing and eating lunch. One infant enrolled was observed engaged in free play and personal care routines. Lunch today consisted of corn dogs, corn, peaches, rolls and milk. The following violations were cited during the visit: Violation Number Comment Rule 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. J. Farrish who began employment on 6/12/2024 does not have First Aid training on file. .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. J. Farrish who began employment on 6/10/2025 does not have the CPR training on file. .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 facility currently only has 2 former employees listed in ABCMS. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The facility had a lockdown drill on 1/2/2025 and again on 5/15/2025. .0604(u);.0302(d)(8) 1898 Staff did not complete the health and safety training within one year of employment. J. Farrish began employment on 6/12/2024 and did not have completed health and safety trainings on file. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Any extra day was given due to the upcoming Holiday. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was offered on the importance of maintaining periodically viewing staff files to ensure that required documentation during the first 90 day period has been completed and filed. It was also offered on ABCMS. 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. You have already completed the training therefore your next step is to use the ABCMS Provider Portal to update information regarding new hires or residents. 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. Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Mrs. Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc. if you have questions. 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 .0606 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 25 Completed Date: 3/20/2025 Age: From 0 To 8 Total Minutes: 105 Time In: 10:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Barbara Byrd, administrator, assisted me with the visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. The program’s compliance history was ninety-eight percent (98%) as of 3/20/2025 and was reviewed with Mrs. Byrd. The last annual compliance visit was conducted on July 10. 2024. The last sanitation inspection was conducted on November 25, 2024, earning a superior rating. The last fire inspection was conducted on April 10, 2024. The NC Secretary of State website was reviewed on March 20, 2025 and Sanford Child Care, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor play, transitions and personal care routines. Infants were engaged in tummy time, napping, diapering routines and eating. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. There have been no new employees since my last visit. Lunch today consisted of ham and cheese sandwiches, sliced carrots, sliced bananas and milk. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. I observed an eighth month old in the space used by the infants, asleep in a bouncy seat. The staff reported that the child had been asleep in the seat since 10:00am. 10A NCAC 09 .0606(a) Because the violation was corrected during the visit and compliance letter is not required at this time. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical assistance was offered on transitioning toddlers from a sippy cup to a regular cup. Although there is not a “best time” to transition to a regular cup, most children have transitioned from a sippy cup to a regular cup by age two. If the desired age to have the children enrolled use a regular cup by the age of two, there are a few things that can be done prior to the transition that will make the transition easier. First, ensure that infants and toddlers are developing their fine motor muscles and skills but using such materials as puzzles, crayons, paint brushes, and sorters just to name a few. Periodically allow the children to use “open” cups prior to making the full transition. Encourage the children by using hand over hand methods if necessary and using encouraging language. Also remain calm during spills or accidents letting the child know that it is okay and that they can keep trying. Also encourage families to use the same methods at home. Technical assistance was also offered on the importance of following the center’s safe sleep policy. The purpose of a safe sleep policy is to reduce the risk of Sudden Infant Death Syndrome or SIDS and other sleep related accidents. The Center for Disease Control (CDC) and the U.S. DHHS recommend that infants be given their own sleep space that is blanket free of soft bedding, pillows, bumper pads and toys. The American Association Pediatrics or AAP recommends that devices such as strollers, swings, infant carrier, car seats and inclined seats not be used for regular sleep routines. The safe sleep policy states that infants be placed in their cribs (on their back if applicable) to sleep. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov. if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 25 Completed Date: 3/20/2025 Age: From 0 To 8 Total Minutes: 105 Time In: 10:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Barbara Byrd, administrator, assisted me with the visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. The program’s compliance history was ninety-eight percent (98%) as of 3/20/2025 and was reviewed with Mrs. Byrd. The last annual compliance visit was conducted on July 10. 2024. The last sanitation inspection was conducted on November 25, 2024, earning a superior rating. The last fire inspection was conducted on April 10, 2024. The NC Secretary of State website was reviewed on March 20, 2025 and Sanford Child Care, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in group time, free play in activity areas, outdoor play, transitions and personal care routines. Infants were engaged in tummy time, napping, diapering routines and eating. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. There have been no new employees since my last visit. Lunch today consisted of ham and cheese sandwiches, sliced carrots, sliced bananas and milk. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. I observed an eighth month old in the space used by the infants, asleep in a bouncy seat. The staff reported that the child had been asleep in the seat since 10:00am. 10A NCAC 09 .0606(a) Because the violation was corrected during the visit and compliance letter is not required at this time. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical assistance was offered on transitioning toddlers from a sippy cup to a regular cup. Although there is not a “best time” to transition to a regular cup, most children have transitioned from a sippy cup to a regular cup by age two. If the desired age to have the children enrolled use a regular cup by the age of two, there are a few things that can be done prior to the transition that will make the transition easier. First, ensure that infants and toddlers are developing their fine motor muscles and skills but using such materials as puzzles, crayons, paint brushes, and sorters just to name a few. Periodically allow the children to use “open” cups prior to making the full transition. Encourage the children by using hand over hand methods if necessary and using encouraging language. Also remain calm during spills or accidents letting the child know that it is okay and that they can keep trying. Also encourage families to use the same methods at home. Technical assistance was also offered on the importance of following the center’s safe sleep policy. The purpose of a safe sleep policy is to reduce the risk of Sudden Infant Death Syndrome or SIDS and other sleep related accidents. The Center for Disease Control (CDC) and the U.S. DHHS recommend that infants be given their own sleep space that is blanket free of soft bedding, pillows, bumper pads and toys. The American Association Pediatrics or AAP recommends that devices such as strollers, swings, infant carrier, car seats and inclined seats not be used for regular sleep routines. The safe sleep policy states that infants be placed in their cribs (on their back if applicable) to sleep. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov. if you have any questions. 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: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 29 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM 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 for an annual compliance visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. Barbara Byrd, administrator, assisted me with the visit. The last annual compliance visit was conducted July 26, 2023. The last sanitation inspection was conducted on June 27, 2024 earning a superior rating. The last fire inspection was conducted on October 13, 2023. The program compliance history was ninety-four (94) percent as of 7/9/2024. The NC Secretary of State website was reviewed on July 10, 2024 and Sanford Child Care Center, Inc. was listed as current- active. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and routines such as diapering, toileting and handwashing and eating lunch. Infants enrolled were observed engaged in free play, tummy time and personal care routines. Lunch was observed and consisted of sausage, macaroni and cheese, apple sauce, rolls and milk. The following violations were observed during the visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for a child who enrolled on 1/16/2024 was dated for 4/11/2024. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The administrator had documentation of the training that was completed on 7/8/2019. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately on or before July 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was offered on creating a system for the administrator and staff that allows them to periodically check required documentation to ensure that the dates are valid and that all necessary information is included as well as ensuring that compliance is maintained throughout the facility. Utilize the staff file checklist and staff training worksheets that are available on the DCDEE website to assist with keeping track of the required documentation and the timelines. It may also help to create a system for newly enrolled children in which reminders are sent for documentation that may still be needed such as medical statements. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, 910-709-4160, janet.edwards@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 29 Completed Date: 7/10/2024 Age: From 0 To 9 Total Minutes: 130 Time In: 09:20 AM Time Out: 11:30 AM 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 for an annual compliance visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. Barbara Byrd, administrator, assisted me with the visit. The last annual compliance visit was conducted July 26, 2023. The last sanitation inspection was conducted on June 27, 2024 earning a superior rating. The last fire inspection was conducted on October 13, 2023. The program compliance history was ninety-four (94) percent as of 7/9/2024. The NC Secretary of State website was reviewed on July 10, 2024 and Sanford Child Care Center, Inc. was listed as current- active. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and routines such as diapering, toileting and handwashing and eating lunch. Infants enrolled were observed engaged in free play, tummy time and personal care routines. Lunch was observed and consisted of sausage, macaroni and cheese, apple sauce, rolls and milk. The following violations were observed during the visit: Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam on file for a child who enrolled on 1/16/2024 was dated for 4/11/2024. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The administrator had documentation of the training that was completed on 7/8/2019. .1102(g) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately on or before July 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was offered on creating a system for the administrator and staff that allows them to periodically check required documentation to ensure that the dates are valid and that all necessary information is included as well as ensuring that compliance is maintained throughout the facility. Utilize the staff file checklist and staff training worksheets that are available on the DCDEE website to assist with keeping track of the required documentation and the timelines. It may also help to create a system for newly enrolled children in which reminders are sent for documentation that may still be needed such as medical statements. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Barbara Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, 910-709-4160, janet.edwards@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SANFORD CHILD CARE, INC. Facility ID: 53000228 Consultant: TURKESHIA MCCORMICK Operation Type: Center Case Number: Visit Date: 7/26/2023 Number Present: 32 Completed Date: 7/26/2023 Age: From 0 To 11 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 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 for an annual compliance visit. Barbara Byrd, director, assisted me with the visit. The facility operated with a Five-Star License, issued August 8, 2019, earning five points in the education component, seven points in the program component and one quality point for complying with the education option. License restrictions include first and second shift, meets enhanced ratios minus one and meets enhanced space. The last annual compliance visit was conducted August 11, 2022. The last sanitation inspection was conducted on July 17, 2023 earning a provisional rating. A new sanitation inspection is needed, and the director has informed me that she has been in contact with the environmental health department in regards to scheduling a new inspection once the corrections have been made. The last fire inspection was conducted on October 4, 2022. The program compliance history was eighty-six (86) percent as of 7/25/2023. The NC Secretary of State website was reviewed on July 26, 2023 and Sanford Child Care Center, Inc. was listed as current- active. I visited each indoor and outdoor space. Children enrolled were observed in free play in the centers, outdoor play, participating in teacher directed activities and eating lunch. Lunch was observed and consisted of chicken and rice, green beans, blueberries, rolls and milk. The following violations were observed during the visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Albuterol and an epi pen for a child in the young preschool class whose date of birth was 2/24/2019 was stored in a book bag in the child's cubby. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Albuterol for a child in the young preschool class whose date of birth was 2/24/2019 was in a plastic bag. .0803(2)(a) 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. An epi pen stored in a cubby for a child in the class for the young preschool children expired on 2/26/2022. .0803(12) 1319 Medical authorizations were not accessible to staff. Staff in the class room for the young preschool children did not have access to medical authorization for a four year old in that class. .0802(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately on or before August 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Turkeshia McCormick, Child Care Consultant, PO Box 411, Lillington NC 27546. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was offered on reviewing both staff and children’s records to ensure that all required documentation is on complete and on file. Try reviewing these files periodically to keep up with deadlines for trainings and any other pertinent information. We discussed requesting Environment Rating Scale (ERS) assessments in an effort to maintain the program's star rating. Resources such as Child Care Resource and Referral and Smart Start can be valuable when preparing for the ERS. “All about ECERS-R”and the NCRLAP website (www.ncrlap.org) can also be helpful as staff prepare for the ERS. On the NCRLAP website, there are training videos, sample questions and clarifying information regarding the assessments you may find helpful. Your facility is in Cohort 2 of the rated license process. Your prep year will begin 7/1/2024-6/30/2025. Please consider contacting the Partners for Families and Children of Lee County for help with technical assistance, room arrangements, mock observations, self observations and in any other areas that will help prepare you for the assessments as well as increase/maintain the quality level of care that your staff provide. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. As a reminder, CPR/First Aid training will be needed for one employee. Also, when medical action plans are required, ensure that staff have required documentation prior to accepting the medication. Staff should also check the children’s bags brought in from home on a daily basis. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Mrs. Byrd. Contact me at Turkeshia McCormick, Child Care Consultant, 910-308-0895, Turkeshia.mccormick@dhhs.nc.gov or Janet Edwards, Licensing Supervisor, 910-709-4160, janet.edwards@dhhs.nc.gov if you have questions. 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