American Child, Inc.

10A NCAC 09 .0902 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 93 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 during an Annual Compliance Visit. You, Rebecca Taylor, Assistant Director and Jimmy Holcombe, Owner, assisted me with today’s visit. The last annual compliance visit was conducted on May 16, 2025. The last sanitation inspection was completed on October 22, 2025, with a “Superior” classification. The last fire inspection was completed on April 29, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent prior to today’s visit. The NC Secretary of State website was monitored during today's visit, American Child, Inc. was listed as current-active. The programs four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, music and movement, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on March 30, 2026. Emergency drills are being conducted. The last emergency drill documented was completed on January 23, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on March 30, 2026. Materials, toys, and equipment throughout the indoor environment were developmentally appropriate and in good repair. Medications and Medical Action Plans were monitored during today’s visit. A selection of ten children’s files were monitored during today’s visit. An “other visit” will be conducted to review staff files. The program does not provide transportation. During a meeting with Piper Cline, Owner/Director, conducted on November 11, 2025. We discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for the administrator and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Mrs. Wingler stated that the facility will follow the Program Assessment Pathway for Child Care Centers. We reviewed the “Pathways to the Stars Application for Assessment for a Rated License for Centers” and the various components. The facility was issued a four-star rated license on January 19, 2024 and is do for reassessment by January 19, 2027. During your next visit, we will begin the QRIS process. The following violations were documented today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 5A, materials were not provided as outlined in rule. .0510 (e ) (1)(A-G) 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 5B three infant feeding plans under fifteen months were not posted. In space 7 one child's infant feeding plan was not available. 10A NCAC 09 .0902(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 5B, two children's beds were not labeled. 15A NCAC 18A .2821(b) & (c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Stationary structures on the outdoor play areas did not have adequate surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. Furnishings and decor on the outdoor play areas displayed signs of rust. G.S. 110-91(6); .0601(b) 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. In space 5A and space 5B, items labeled "keep out of reach of children" and additional warning labels were not properly stored. .2820(b) 847 Parent's medication authorization did not include required information. In space 5A, a topical ointment was located in a child's cubby and did not have a permission to administer form. 10A NCAC 09 .0803(4)(6-9) 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. In space 4, an epi pen expired on February 12, 2026, a topical ointment expired November 2025, and a permission to administer form expired June 2025. .0803(12) 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 4, a medical action plan expired April 10, 2026. .0801(b) Technical Assistance was provided on the following: • It is recommended that as new children enroll, administrative staff should review the file prior to allowing the child to be present at the facility for all documents that are required to be on file day one. Infant feeding plans should be on file day one and children fifteen (15) months and under are required to have a feeding plan posted. • It is recommended as infants move up in classrooms and still use a crib, staff should ensure that they are labeling cribs for each child to use. Space 5B corrected this item by labeling the cribs with the child's name. • Although the facility purchases mulch every six months, it is recommended that the mulch be tilled or fluffed to provide adequate surfacing. If surfacing is still not the required depth, mulch may need to be purchased more frequently. • It is recommended that a plan be created to monitor the outdoor environment quarterly for signs of rust and chipping paint on the equipment and décor. • It is recommended staff monitoring their classroom space prior to caring for children to ensure that all items labeled “keep out of reach of children” are placed at least five (5) feet from the ground. Staff should also read labels that are on baby wipes, hand wipes, and other items to ensure they do not have warning labels. Space 5A and 5B corrected this by placing the items five feet or above. • It is recommended that staff be trained on how to receive medication and topical ointments to ensure that permission to administer form is completed correctly and the medication and/or ointments are reviewed for the proper items. • It is recommended that staff monitor their medications and topical ointments quarterly to ensure that all required items are in compliance. An at a glance checklist can be utilized to document expiration dates of required documents and medication. Medications should be returned to the parent or discarded within 72 hours after the expiration date or after the permission to administer expires. • It is recommended that Medical Action Plans be monitored every six months to ensure that they are in compliance with being updated annually. It is recommended that a copy of all medical actions plans be provided to the classroom children are assigned to. • It is recommended that the facility inquire about training and technical assistance visits from the Iredell County Partnership for Young Children regarding room arrangement, activity plan implementation, developmentally appropriate materials and activities, and modeling and engagement with children. It is recommended that staff prepare items that are listed on the activity plan for the following day prior to leaving for the day. It is recommended that staff rotate materials in their classrooms quarterly and as themes of their activity plans change. o Child Care Rule 09 .0510 states the following: (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110- 91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; • All staff members are required to submit their education to the Workforce Unit for evaluation DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: The following steps are how you can begin preparing for the Rated License process: Next Steps for Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 21, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. 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 12, 2026, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 93 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 during an Annual Compliance Visit. You, Rebecca Taylor, Assistant Director and Jimmy Holcombe, Owner, assisted me with today’s visit. The last annual compliance visit was conducted on May 16, 2025. The last sanitation inspection was completed on October 22, 2025, with a “Superior” classification. The last fire inspection was completed on April 29, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent prior to today’s visit. The NC Secretary of State website was monitored during today's visit, American Child, Inc. was listed as current-active. The programs four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, music and movement, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on March 30, 2026. Emergency drills are being conducted. The last emergency drill documented was completed on January 23, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on March 30, 2026. Materials, toys, and equipment throughout the indoor environment were developmentally appropriate and in good repair. Medications and Medical Action Plans were monitored during today’s visit. A selection of ten children’s files were monitored during today’s visit. An “other visit” will be conducted to review staff files. The program does not provide transportation. During a meeting with Piper Cline, Owner/Director, conducted on November 11, 2025. We discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for the administrator and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Mrs. Wingler stated that the facility will follow the Program Assessment Pathway for Child Care Centers. We reviewed the “Pathways to the Stars Application for Assessment for a Rated License for Centers” and the various components. The facility was issued a four-star rated license on January 19, 2024 and is do for reassessment by January 19, 2027. During your next visit, we will begin the QRIS process. The following violations were documented today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 5A, materials were not provided as outlined in rule. .0510 (e ) (1)(A-G) 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 5B three infant feeding plans under fifteen months were not posted. In space 7 one child's infant feeding plan was not available. 10A NCAC 09 .0902(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 5B, two children's beds were not labeled. 15A NCAC 18A .2821(b) & (c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Stationary structures on the outdoor play areas did not have adequate surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. Furnishings and decor on the outdoor play areas displayed signs of rust. G.S. 110-91(6); .0601(b) 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. In space 5A and space 5B, items labeled "keep out of reach of children" and additional warning labels were not properly stored. .2820(b) 847 Parent's medication authorization did not include required information. In space 5A, a topical ointment was located in a child's cubby and did not have a permission to administer form. 10A NCAC 09 .0803(4)(6-9) 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. In space 4, an epi pen expired on February 12, 2026, a topical ointment expired November 2025, and a permission to administer form expired June 2025. .0803(12) 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 4, a medical action plan expired April 10, 2026. .0801(b) Technical Assistance was provided on the following: • It is recommended that as new children enroll, administrative staff should review the file prior to allowing the child to be present at the facility for all documents that are required to be on file day one. Infant feeding plans should be on file day one and children fifteen (15) months and under are required to have a feeding plan posted. • It is recommended as infants move up in classrooms and still use a crib, staff should ensure that they are labeling cribs for each child to use. Space 5B corrected this item by labeling the cribs with the child's name. • Although the facility purchases mulch every six months, it is recommended that the mulch be tilled or fluffed to provide adequate surfacing. If surfacing is still not the required depth, mulch may need to be purchased more frequently. • It is recommended that a plan be created to monitor the outdoor environment quarterly for signs of rust and chipping paint on the equipment and décor. • It is recommended staff monitoring their classroom space prior to caring for children to ensure that all items labeled “keep out of reach of children” are placed at least five (5) feet from the ground. Staff should also read labels that are on baby wipes, hand wipes, and other items to ensure they do not have warning labels. Space 5A and 5B corrected this by placing the items five feet or above. • It is recommended that staff be trained on how to receive medication and topical ointments to ensure that permission to administer form is completed correctly and the medication and/or ointments are reviewed for the proper items. • It is recommended that staff monitor their medications and topical ointments quarterly to ensure that all required items are in compliance. An at a glance checklist can be utilized to document expiration dates of required documents and medication. Medications should be returned to the parent or discarded within 72 hours after the expiration date or after the permission to administer expires. • It is recommended that Medical Action Plans be monitored every six months to ensure that they are in compliance with being updated annually. It is recommended that a copy of all medical actions plans be provided to the classroom children are assigned to. • It is recommended that the facility inquire about training and technical assistance visits from the Iredell County Partnership for Young Children regarding room arrangement, activity plan implementation, developmentally appropriate materials and activities, and modeling and engagement with children. It is recommended that staff prepare items that are listed on the activity plan for the following day prior to leaving for the day. It is recommended that staff rotate materials in their classrooms quarterly and as themes of their activity plans change. o Child Care Rule 09 .0510 states the following: (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110- 91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; • All staff members are required to submit their education to the Workforce Unit for evaluation DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: The following steps are how you can begin preparing for the Rated License process: Next Steps for Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 21, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. 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 12, 2026, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 93 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 during an Annual Compliance Visit. You, Rebecca Taylor, Assistant Director and Jimmy Holcombe, Owner, assisted me with today’s visit. The last annual compliance visit was conducted on May 16, 2025. The last sanitation inspection was completed on October 22, 2025, with a “Superior” classification. The last fire inspection was completed on April 29, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent prior to today’s visit. The NC Secretary of State website was monitored during today's visit, American Child, Inc. was listed as current-active. The programs four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, music and movement, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on March 30, 2026. Emergency drills are being conducted. The last emergency drill documented was completed on January 23, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on March 30, 2026. Materials, toys, and equipment throughout the indoor environment were developmentally appropriate and in good repair. Medications and Medical Action Plans were monitored during today’s visit. A selection of ten children’s files were monitored during today’s visit. An “other visit” will be conducted to review staff files. The program does not provide transportation. During a meeting with Piper Cline, Owner/Director, conducted on November 11, 2025. We discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for the administrator and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Mrs. Wingler stated that the facility will follow the Program Assessment Pathway for Child Care Centers. We reviewed the “Pathways to the Stars Application for Assessment for a Rated License for Centers” and the various components. The facility was issued a four-star rated license on January 19, 2024 and is do for reassessment by January 19, 2027. During your next visit, we will begin the QRIS process. The following violations were documented today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 5A, materials were not provided as outlined in rule. .0510 (e ) (1)(A-G) 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 5B three infant feeding plans under fifteen months were not posted. In space 7 one child's infant feeding plan was not available. 10A NCAC 09 .0902(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 5B, two children's beds were not labeled. 15A NCAC 18A .2821(b) & (c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Stationary structures on the outdoor play areas did not have adequate surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. Furnishings and decor on the outdoor play areas displayed signs of rust. G.S. 110-91(6); .0601(b) 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. In space 5A and space 5B, items labeled "keep out of reach of children" and additional warning labels were not properly stored. .2820(b) 847 Parent's medication authorization did not include required information. In space 5A, a topical ointment was located in a child's cubby and did not have a permission to administer form. 10A NCAC 09 .0803(4)(6-9) 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. In space 4, an epi pen expired on February 12, 2026, a topical ointment expired November 2025, and a permission to administer form expired June 2025. .0803(12) 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 4, a medical action plan expired April 10, 2026. .0801(b) Technical Assistance was provided on the following: • It is recommended that as new children enroll, administrative staff should review the file prior to allowing the child to be present at the facility for all documents that are required to be on file day one. Infant feeding plans should be on file day one and children fifteen (15) months and under are required to have a feeding plan posted. • It is recommended as infants move up in classrooms and still use a crib, staff should ensure that they are labeling cribs for each child to use. Space 5B corrected this item by labeling the cribs with the child's name. • Although the facility purchases mulch every six months, it is recommended that the mulch be tilled or fluffed to provide adequate surfacing. If surfacing is still not the required depth, mulch may need to be purchased more frequently. • It is recommended that a plan be created to monitor the outdoor environment quarterly for signs of rust and chipping paint on the equipment and décor. • It is recommended staff monitoring their classroom space prior to caring for children to ensure that all items labeled “keep out of reach of children” are placed at least five (5) feet from the ground. Staff should also read labels that are on baby wipes, hand wipes, and other items to ensure they do not have warning labels. Space 5A and 5B corrected this by placing the items five feet or above. • It is recommended that staff be trained on how to receive medication and topical ointments to ensure that permission to administer form is completed correctly and the medication and/or ointments are reviewed for the proper items. • It is recommended that staff monitor their medications and topical ointments quarterly to ensure that all required items are in compliance. An at a glance checklist can be utilized to document expiration dates of required documents and medication. Medications should be returned to the parent or discarded within 72 hours after the expiration date or after the permission to administer expires. • It is recommended that Medical Action Plans be monitored every six months to ensure that they are in compliance with being updated annually. It is recommended that a copy of all medical actions plans be provided to the classroom children are assigned to. • It is recommended that the facility inquire about training and technical assistance visits from the Iredell County Partnership for Young Children regarding room arrangement, activity plan implementation, developmentally appropriate materials and activities, and modeling and engagement with children. It is recommended that staff prepare items that are listed on the activity plan for the following day prior to leaving for the day. It is recommended that staff rotate materials in their classrooms quarterly and as themes of their activity plans change. o Child Care Rule 09 .0510 states the following: (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110- 91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; • All staff members are required to submit their education to the Workforce Unit for evaluation DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: The following steps are how you can begin preparing for the Rated License process: Next Steps for Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 21, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. 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 12, 2026, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 93 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 during an Annual Compliance Visit. You, Rebecca Taylor, Assistant Director and Jimmy Holcombe, Owner, assisted me with today’s visit. The last annual compliance visit was conducted on May 16, 2025. The last sanitation inspection was completed on October 22, 2025, with a “Superior” classification. The last fire inspection was completed on April 29, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent prior to today’s visit. The NC Secretary of State website was monitored during today's visit, American Child, Inc. was listed as current-active. The programs four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, music and movement, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on March 30, 2026. Emergency drills are being conducted. The last emergency drill documented was completed on January 23, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on March 30, 2026. Materials, toys, and equipment throughout the indoor environment were developmentally appropriate and in good repair. Medications and Medical Action Plans were monitored during today’s visit. A selection of ten children’s files were monitored during today’s visit. An “other visit” will be conducted to review staff files. The program does not provide transportation. During a meeting with Piper Cline, Owner/Director, conducted on November 11, 2025. We discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for the administrator and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Mrs. Wingler stated that the facility will follow the Program Assessment Pathway for Child Care Centers. We reviewed the “Pathways to the Stars Application for Assessment for a Rated License for Centers” and the various components. The facility was issued a four-star rated license on January 19, 2024 and is do for reassessment by January 19, 2027. During your next visit, we will begin the QRIS process. The following violations were documented today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 5A, materials were not provided as outlined in rule. .0510 (e ) (1)(A-G) 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 5B three infant feeding plans under fifteen months were not posted. In space 7 one child's infant feeding plan was not available. 10A NCAC 09 .0902(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 5B, two children's beds were not labeled. 15A NCAC 18A .2821(b) & (c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Stationary structures on the outdoor play areas did not have adequate surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. Furnishings and decor on the outdoor play areas displayed signs of rust. G.S. 110-91(6); .0601(b) 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. In space 5A and space 5B, items labeled "keep out of reach of children" and additional warning labels were not properly stored. .2820(b) 847 Parent's medication authorization did not include required information. In space 5A, a topical ointment was located in a child's cubby and did not have a permission to administer form. 10A NCAC 09 .0803(4)(6-9) 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. In space 4, an epi pen expired on February 12, 2026, a topical ointment expired November 2025, and a permission to administer form expired June 2025. .0803(12) 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 4, a medical action plan expired April 10, 2026. .0801(b) Technical Assistance was provided on the following: • It is recommended that as new children enroll, administrative staff should review the file prior to allowing the child to be present at the facility for all documents that are required to be on file day one. Infant feeding plans should be on file day one and children fifteen (15) months and under are required to have a feeding plan posted. • It is recommended as infants move up in classrooms and still use a crib, staff should ensure that they are labeling cribs for each child to use. Space 5B corrected this item by labeling the cribs with the child's name. • Although the facility purchases mulch every six months, it is recommended that the mulch be tilled or fluffed to provide adequate surfacing. If surfacing is still not the required depth, mulch may need to be purchased more frequently. • It is recommended that a plan be created to monitor the outdoor environment quarterly for signs of rust and chipping paint on the equipment and décor. • It is recommended staff monitoring their classroom space prior to caring for children to ensure that all items labeled “keep out of reach of children” are placed at least five (5) feet from the ground. Staff should also read labels that are on baby wipes, hand wipes, and other items to ensure they do not have warning labels. Space 5A and 5B corrected this by placing the items five feet or above. • It is recommended that staff be trained on how to receive medication and topical ointments to ensure that permission to administer form is completed correctly and the medication and/or ointments are reviewed for the proper items. • It is recommended that staff monitor their medications and topical ointments quarterly to ensure that all required items are in compliance. An at a glance checklist can be utilized to document expiration dates of required documents and medication. Medications should be returned to the parent or discarded within 72 hours after the expiration date or after the permission to administer expires. • It is recommended that Medical Action Plans be monitored every six months to ensure that they are in compliance with being updated annually. It is recommended that a copy of all medical actions plans be provided to the classroom children are assigned to. • It is recommended that the facility inquire about training and technical assistance visits from the Iredell County Partnership for Young Children regarding room arrangement, activity plan implementation, developmentally appropriate materials and activities, and modeling and engagement with children. It is recommended that staff prepare items that are listed on the activity plan for the following day prior to leaving for the day. It is recommended that staff rotate materials in their classrooms quarterly and as themes of their activity plans change. o Child Care Rule 09 .0510 states the following: (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110- 91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; • All staff members are required to submit their education to the Workforce Unit for evaluation DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: The following steps are how you can begin preparing for the Rated License process: Next Steps for Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 21, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. 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 12, 2026, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

NC GS 110-90 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 93 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 during an Annual Compliance Visit. You, Rebecca Taylor, Assistant Director and Jimmy Holcombe, Owner, assisted me with today’s visit. The last annual compliance visit was conducted on May 16, 2025. The last sanitation inspection was completed on October 22, 2025, with a “Superior” classification. The last fire inspection was completed on April 29, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety-one percent prior to today’s visit. The NC Secretary of State website was monitored during today's visit, American Child, Inc. was listed as current-active. The programs four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, music and movement, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on March 30, 2026. Emergency drills are being conducted. The last emergency drill documented was completed on January 23, 2026. Your outdoor play area meets child care safety standards. The last outdoor playground inspection was completed on March 30, 2026. Materials, toys, and equipment throughout the indoor environment were developmentally appropriate and in good repair. Medications and Medical Action Plans were monitored during today’s visit. A selection of ten children’s files were monitored during today’s visit. An “other visit” will be conducted to review staff files. The program does not provide transportation. During a meeting with Piper Cline, Owner/Director, conducted on November 11, 2025. We discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for the administrator and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Mrs. Wingler stated that the facility will follow the Program Assessment Pathway for Child Care Centers. We reviewed the “Pathways to the Stars Application for Assessment for a Rated License for Centers” and the various components. The facility was issued a four-star rated license on January 19, 2024 and is do for reassessment by January 19, 2027. During your next visit, we will begin the QRIS process. The following violations were documented today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 5A, materials were not provided as outlined in rule. .0510 (e ) (1)(A-G) 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 5B three infant feeding plans under fifteen months were not posted. In space 7 one child's infant feeding plan was not available. 10A NCAC 09 .0902(a) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. In space 5B, two children's beds were not labeled. 15A NCAC 18A .2821(b) & (c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Stationary structures on the outdoor play areas did not have adequate surfacing. .0605(j) 721 All equipment and furnishings were not in good repair. Furnishings and decor on the outdoor play areas displayed signs of rust. G.S. 110-91(6); .0601(b) 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. In space 5A and space 5B, items labeled "keep out of reach of children" and additional warning labels were not properly stored. .2820(b) 847 Parent's medication authorization did not include required information. In space 5A, a topical ointment was located in a child's cubby and did not have a permission to administer form. 10A NCAC 09 .0803(4)(6-9) 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. In space 4, an epi pen expired on February 12, 2026, a topical ointment expired November 2025, and a permission to administer form expired June 2025. .0803(12) 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 4, a medical action plan expired April 10, 2026. .0801(b) Technical Assistance was provided on the following: • It is recommended that as new children enroll, administrative staff should review the file prior to allowing the child to be present at the facility for all documents that are required to be on file day one. Infant feeding plans should be on file day one and children fifteen (15) months and under are required to have a feeding plan posted. • It is recommended as infants move up in classrooms and still use a crib, staff should ensure that they are labeling cribs for each child to use. Space 5B corrected this item by labeling the cribs with the child's name. • Although the facility purchases mulch every six months, it is recommended that the mulch be tilled or fluffed to provide adequate surfacing. If surfacing is still not the required depth, mulch may need to be purchased more frequently. • It is recommended that a plan be created to monitor the outdoor environment quarterly for signs of rust and chipping paint on the equipment and décor. • It is recommended staff monitoring their classroom space prior to caring for children to ensure that all items labeled “keep out of reach of children” are placed at least five (5) feet from the ground. Staff should also read labels that are on baby wipes, hand wipes, and other items to ensure they do not have warning labels. Space 5A and 5B corrected this by placing the items five feet or above. • It is recommended that staff be trained on how to receive medication and topical ointments to ensure that permission to administer form is completed correctly and the medication and/or ointments are reviewed for the proper items. • It is recommended that staff monitor their medications and topical ointments quarterly to ensure that all required items are in compliance. An at a glance checklist can be utilized to document expiration dates of required documents and medication. Medications should be returned to the parent or discarded within 72 hours after the expiration date or after the permission to administer expires. • It is recommended that Medical Action Plans be monitored every six months to ensure that they are in compliance with being updated annually. It is recommended that a copy of all medical actions plans be provided to the classroom children are assigned to. • It is recommended that the facility inquire about training and technical assistance visits from the Iredell County Partnership for Young Children regarding room arrangement, activity plan implementation, developmentally appropriate materials and activities, and modeling and engagement with children. It is recommended that staff prepare items that are listed on the activity plan for the following day prior to leaving for the day. It is recommended that staff rotate materials in their classrooms quarterly and as themes of their activity plans change. o Child Care Rule 09 .0510 states the following: (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110- 91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; • All staff members are required to submit their education to the Workforce Unit for evaluation DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • 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-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: The following steps are how you can begin preparing for the Rated License process: Next Steps for Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 21, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. 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 12, 2026, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/16/2025 Number Present: 94 Completed Date: 5/16/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. You, Rebecca Taylor, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2025. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was completed April 29, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on April 30, 2025. Your outdoor play areas meet child care safety standards. Materials, toys, and equipment throughout the facility was monitored during today’s visit. All topical ointments and their permission to administer forms were monitored to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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 1, four children were not signed out on 5/14/25, one child was not signed out on 5/15/25, and only four children were signed in on 5/16/25. In space 2, two children were not signed out on 5/12/25, one child was not signed out on 5/13/25, and three children were not signed in on 5/16/25. In space 3, three children were not signed out on 5/15/25. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, cubby shelves displayed dirt and dust. In space 2, the blue walls had visible dirt. In space 3, the soap dispensers had build up of paint and visible dirt on the walls around the trashcan. In space 1, the changing table had a crack in it. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green helicopter play structure on the toddler playground had chipping paint. The blue bike structure on the preschool playground had chipping paint. G.S. 110-91(6); .0601(b) 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. In space 1, an aerosol can of Lysol and bulk soap was stored in an unlocked cabinet. In space 2, a container of petroleum jelly labeled "keep out of reach of children" and had additional warning labels was stored on the teacher's desk. .2820(b) Technical Assistance was provided on the following: 1. It is recommended that by 9:30am staff check their sign-in and out sheets to ensure that all children present have been signed in for the day. Prior to leaving for the afternoon staff should check to ensure that all staff have been signed out. It is also recommended that parents be sent a memo to sign their child in and out daily. Staff completed the daily sign-in and sign-out sheet during today's visit. 2. It is recommended that staff conduct a walkthrough of their classroom space prior to caring for children to ensure that all hazardous products are stored properly. Aerosol cans and bulk items such as soap and sanitizer must be locked. Staff locked all hazardous items in a closet during today's visit. 3. It is recommended that staff monitor their room monthly to ensure that all furniture, toys, and equipment is in good repair. Items that need replaced or fixed should be reported to administrative staff immediately. Staff should also ensure that their classrooms are free of dust and dirt on cubby shelves, walls, doors, sinks, soap dispensers, etc. A monthly deep cleaning schedule can also be put in place for classrooms. 4. It is recommended that a staff member with playground safety training conduct a walkthrough of the outdoor environment daily to ensure that all equipment is in good repair, free of rust, and chipping paint. Items that are damaged, show rust, and/or chipping paint should be documented on the playground inspection form and reported to administrative staff to be repaired. Consultation was provided on the following: Please discuss with staff that due to the layout of the building and open ceilings to be mindful of their tone when speaking to children. Please discuss with staff that when items are broken, torn, or damaged they should be removed from activity areas and replaced. Also, staff should ensure that there are enough materials available and accessible to children. Please ensure that the infant classroom is going outdoors daily. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; Please ensure that all new staff create a WORKS account, order official transcripts, and send transcripts to the Workforce Unit for evaluation. 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 -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: 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. 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 as stated in G.S. 110-90.2 & .2703(r) 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 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, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/16/2025 Number Present: 94 Completed Date: 5/16/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. You, Rebecca Taylor, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2025. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was completed April 29, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on April 30, 2025. Your outdoor play areas meet child care safety standards. Materials, toys, and equipment throughout the facility was monitored during today’s visit. All topical ointments and their permission to administer forms were monitored to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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 1, four children were not signed out on 5/14/25, one child was not signed out on 5/15/25, and only four children were signed in on 5/16/25. In space 2, two children were not signed out on 5/12/25, one child was not signed out on 5/13/25, and three children were not signed in on 5/16/25. In space 3, three children were not signed out on 5/15/25. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, cubby shelves displayed dirt and dust. In space 2, the blue walls had visible dirt. In space 3, the soap dispensers had build up of paint and visible dirt on the walls around the trashcan. In space 1, the changing table had a crack in it. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green helicopter play structure on the toddler playground had chipping paint. The blue bike structure on the preschool playground had chipping paint. G.S. 110-91(6); .0601(b) 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. In space 1, an aerosol can of Lysol and bulk soap was stored in an unlocked cabinet. In space 2, a container of petroleum jelly labeled "keep out of reach of children" and had additional warning labels was stored on the teacher's desk. .2820(b) Technical Assistance was provided on the following: 1. It is recommended that by 9:30am staff check their sign-in and out sheets to ensure that all children present have been signed in for the day. Prior to leaving for the afternoon staff should check to ensure that all staff have been signed out. It is also recommended that parents be sent a memo to sign their child in and out daily. Staff completed the daily sign-in and sign-out sheet during today's visit. 2. It is recommended that staff conduct a walkthrough of their classroom space prior to caring for children to ensure that all hazardous products are stored properly. Aerosol cans and bulk items such as soap and sanitizer must be locked. Staff locked all hazardous items in a closet during today's visit. 3. It is recommended that staff monitor their room monthly to ensure that all furniture, toys, and equipment is in good repair. Items that need replaced or fixed should be reported to administrative staff immediately. Staff should also ensure that their classrooms are free of dust and dirt on cubby shelves, walls, doors, sinks, soap dispensers, etc. A monthly deep cleaning schedule can also be put in place for classrooms. 4. It is recommended that a staff member with playground safety training conduct a walkthrough of the outdoor environment daily to ensure that all equipment is in good repair, free of rust, and chipping paint. Items that are damaged, show rust, and/or chipping paint should be documented on the playground inspection form and reported to administrative staff to be repaired. Consultation was provided on the following: Please discuss with staff that due to the layout of the building and open ceilings to be mindful of their tone when speaking to children. Please discuss with staff that when items are broken, torn, or damaged they should be removed from activity areas and replaced. Also, staff should ensure that there are enough materials available and accessible to children. Please ensure that the infant classroom is going outdoors daily. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; Please ensure that all new staff create a WORKS account, order official transcripts, and send transcripts to the Workforce Unit for evaluation. 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 -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: 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. 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 as stated in G.S. 110-90.2 & .2703(r) 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 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, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/16/2025 Number Present: 94 Completed Date: 5/16/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. You, Rebecca Taylor, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2025. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was completed April 29, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on April 30, 2025. Your outdoor play areas meet child care safety standards. Materials, toys, and equipment throughout the facility was monitored during today’s visit. All topical ointments and their permission to administer forms were monitored to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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 1, four children were not signed out on 5/14/25, one child was not signed out on 5/15/25, and only four children were signed in on 5/16/25. In space 2, two children were not signed out on 5/12/25, one child was not signed out on 5/13/25, and three children were not signed in on 5/16/25. In space 3, three children were not signed out on 5/15/25. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, cubby shelves displayed dirt and dust. In space 2, the blue walls had visible dirt. In space 3, the soap dispensers had build up of paint and visible dirt on the walls around the trashcan. In space 1, the changing table had a crack in it. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green helicopter play structure on the toddler playground had chipping paint. The blue bike structure on the preschool playground had chipping paint. G.S. 110-91(6); .0601(b) 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. In space 1, an aerosol can of Lysol and bulk soap was stored in an unlocked cabinet. In space 2, a container of petroleum jelly labeled "keep out of reach of children" and had additional warning labels was stored on the teacher's desk. .2820(b) Technical Assistance was provided on the following: 1. It is recommended that by 9:30am staff check their sign-in and out sheets to ensure that all children present have been signed in for the day. Prior to leaving for the afternoon staff should check to ensure that all staff have been signed out. It is also recommended that parents be sent a memo to sign their child in and out daily. Staff completed the daily sign-in and sign-out sheet during today's visit. 2. It is recommended that staff conduct a walkthrough of their classroom space prior to caring for children to ensure that all hazardous products are stored properly. Aerosol cans and bulk items such as soap and sanitizer must be locked. Staff locked all hazardous items in a closet during today's visit. 3. It is recommended that staff monitor their room monthly to ensure that all furniture, toys, and equipment is in good repair. Items that need replaced or fixed should be reported to administrative staff immediately. Staff should also ensure that their classrooms are free of dust and dirt on cubby shelves, walls, doors, sinks, soap dispensers, etc. A monthly deep cleaning schedule can also be put in place for classrooms. 4. It is recommended that a staff member with playground safety training conduct a walkthrough of the outdoor environment daily to ensure that all equipment is in good repair, free of rust, and chipping paint. Items that are damaged, show rust, and/or chipping paint should be documented on the playground inspection form and reported to administrative staff to be repaired. Consultation was provided on the following: Please discuss with staff that due to the layout of the building and open ceilings to be mindful of their tone when speaking to children. Please discuss with staff that when items are broken, torn, or damaged they should be removed from activity areas and replaced. Also, staff should ensure that there are enough materials available and accessible to children. Please ensure that the infant classroom is going outdoors daily. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; Please ensure that all new staff create a WORKS account, order official transcripts, and send transcripts to the Workforce Unit for evaluation. 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 -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: 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. 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 as stated in G.S. 110-90.2 & .2703(r) 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 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, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

NC GS 110-90 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/16/2025 Number Present: 94 Completed Date: 5/16/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. You, Rebecca Taylor, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2025. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was completed April 29, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on April 30, 2025. Your outdoor play areas meet child care safety standards. Materials, toys, and equipment throughout the facility was monitored during today’s visit. All topical ointments and their permission to administer forms were monitored to be in compliance. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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 1, four children were not signed out on 5/14/25, one child was not signed out on 5/15/25, and only four children were signed in on 5/16/25. In space 2, two children were not signed out on 5/12/25, one child was not signed out on 5/13/25, and three children were not signed in on 5/16/25. In space 3, three children were not signed out on 5/15/25. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, cubby shelves displayed dirt and dust. In space 2, the blue walls had visible dirt. In space 3, the soap dispensers had build up of paint and visible dirt on the walls around the trashcan. In space 1, the changing table had a crack in it. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green helicopter play structure on the toddler playground had chipping paint. The blue bike structure on the preschool playground had chipping paint. G.S. 110-91(6); .0601(b) 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. In space 1, an aerosol can of Lysol and bulk soap was stored in an unlocked cabinet. In space 2, a container of petroleum jelly labeled "keep out of reach of children" and had additional warning labels was stored on the teacher's desk. .2820(b) Technical Assistance was provided on the following: 1. It is recommended that by 9:30am staff check their sign-in and out sheets to ensure that all children present have been signed in for the day. Prior to leaving for the afternoon staff should check to ensure that all staff have been signed out. It is also recommended that parents be sent a memo to sign their child in and out daily. Staff completed the daily sign-in and sign-out sheet during today's visit. 2. It is recommended that staff conduct a walkthrough of their classroom space prior to caring for children to ensure that all hazardous products are stored properly. Aerosol cans and bulk items such as soap and sanitizer must be locked. Staff locked all hazardous items in a closet during today's visit. 3. It is recommended that staff monitor their room monthly to ensure that all furniture, toys, and equipment is in good repair. Items that need replaced or fixed should be reported to administrative staff immediately. Staff should also ensure that their classrooms are free of dust and dirt on cubby shelves, walls, doors, sinks, soap dispensers, etc. A monthly deep cleaning schedule can also be put in place for classrooms. 4. It is recommended that a staff member with playground safety training conduct a walkthrough of the outdoor environment daily to ensure that all equipment is in good repair, free of rust, and chipping paint. Items that are damaged, show rust, and/or chipping paint should be documented on the playground inspection form and reported to administrative staff to be repaired. Consultation was provided on the following: Please discuss with staff that due to the layout of the building and open ceilings to be mindful of their tone when speaking to children. Please discuss with staff that when items are broken, torn, or damaged they should be removed from activity areas and replaced. Also, staff should ensure that there are enough materials available and accessible to children. Please ensure that the infant classroom is going outdoors daily. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; Please ensure that all new staff create a WORKS account, order official transcripts, and send transcripts to the Workforce Unit for evaluation. 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 -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: 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. 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 as stated in G.S. 110-90.2 & .2703(r) 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 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, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 88 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 215 Time In: 10:40 AM Time Out: 02:15 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. You, Piper Cline, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2024. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. Children were observed engaging in free choice activities, teacher directed activities, toileting and handwashing routines, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on November 23, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on October 29, 2024. Your meet child care safety standards. The last playground inspection was completed on November 22, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments in the facility were monitored during today’s visit. All staff files were monitored for a current Criminal Background Check qualification letter, ITS-SIDS training, First Aid and CPR training, and Recognizing and Responding to Suspicions of Child Maltreatment during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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. In space 4, children's water bottles brought from home were stored collectively and not labeled with the child's name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, child sized furniture showed signs of peeling fabric. In space 1 and space 3, bookshelves and doors showed signs of peeling paint. 15A NCAC 18A .2825(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. In space 7, a topical ointment expired 11/2024. .0803(12) Technical Assistance was provided on the following: 1. We discussed staff doing a monthly check of their classroom to ensure that cubby shelves, walls, doors, and furniture are in good repair and free of chipping paint. 2. We discussed staff creating a checklist to post prominently in their classroom to monitor when topical ointments and/or medications expire. Once a topical ointment or medication expires, it should be returned to the parent within 72 hours or discarded. 3. We discussed that water bottles should be stored individually in children’s cubbies along with being labeled with the child’s name and date. Staff can send a message to parents asking them to label their child’s water bottle daily or staff can use masking tape to label children’s water bottles. Consultation was provided on the following: • 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. o 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. o 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. • 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: o Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License o Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development o Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings o Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy o DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • We discussed that infants should be held for bottle feedings or placed in a feeding apparatus. Children should not be placed in a crib with a bottle. • We discussed that materials should be of sufficient quantity in classrooms. Items should be assessable to children throughout the day. Staff should refrain from turning cubby shelves around and removing materials from the classroom to prevent access. • We discussed that infants should only be placed in a seating device such as a bouncer, saucer, etc. for no more than 15 minutes. 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 December 18, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

NC GS 110-90 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 88 Completed Date: 12/4/2024 Age: From 0 To 5 Total Minutes: 215 Time In: 10:40 AM Time Out: 02:15 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. You, Piper Cline, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 28, 2024. The last sanitation inspection was completed on October 22, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. Children were observed engaging in free choice activities, teacher directed activities, toileting and handwashing routines, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on November 23, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on October 29, 2024. Your meet child care safety standards. The last playground inspection was completed on November 22, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments in the facility were monitored during today’s visit. All staff files were monitored for a current Criminal Background Check qualification letter, ITS-SIDS training, First Aid and CPR training, and Recognizing and Responding to Suspicions of Child Maltreatment during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 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. In space 4, children's water bottles brought from home were stored collectively and not labeled with the child's name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 1, child sized furniture showed signs of peeling fabric. In space 1 and space 3, bookshelves and doors showed signs of peeling paint. 15A NCAC 18A .2825(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. In space 7, a topical ointment expired 11/2024. .0803(12) Technical Assistance was provided on the following: 1. We discussed staff doing a monthly check of their classroom to ensure that cubby shelves, walls, doors, and furniture are in good repair and free of chipping paint. 2. We discussed staff creating a checklist to post prominently in their classroom to monitor when topical ointments and/or medications expire. Once a topical ointment or medication expires, it should be returned to the parent within 72 hours or discarded. 3. We discussed that water bottles should be stored individually in children’s cubbies along with being labeled with the child’s name and date. Staff can send a message to parents asking them to label their child’s water bottle daily or staff can use masking tape to label children’s water bottles. Consultation was provided on the following: • 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. o 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. o 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. • 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: o Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License o Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development o Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings o Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy o DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • We discussed that infants should be held for bottle feedings or placed in a feeding apparatus. Children should not be placed in a crib with a bottle. • We discussed that materials should be of sufficient quantity in classrooms. Items should be assessable to children throughout the day. Staff should refrain from turning cubby shelves around and removing materials from the classroom to prevent access. • We discussed that infants should only be placed in a seating device such as a bouncer, saucer, etc. for no more than 15 minutes. 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 December 18, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

NC GS 110-90 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/28/2024 Number Present: 82 Completed Date: 5/28/2024 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 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. Ashlynn Vaughan, Child Care Consultant, accompanied me on today’s visit. You, Piper Cline, Owner/Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 13, 2023. The last sanitation inspection was completed on May 15, 2024, with a “Superior” classification. The last fire inspection was conducted March 20, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 79 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during free choice activities, teacher directed activities, outdoor play, lunch, and rest time. Children under twelve months of age were receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on April 29, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on April 29, 2024. The last outdoor playground inspection was completed on April 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space 1, eight children were not signed in for today. 10A NCAC 09 .0302(d)(4) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 3, there was exposed drywall. In space 5b, there was chipping paint on the walls. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the preschool playground, the fence had exposed nails and one of the gate exits was warped that could cause a risk of entrapment. G.S. 110-91(6); .0601(b) 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 7, a power stirp did not have safety covers. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. In space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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 hired on 10/18/21 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1303 Application was not signed by the parent. One child's application was not signed by the parent. 10A NCAC 09 .0801(a) Technical Assistance was provided on the following: 1. We discussed that the outdoor fence should be in good repair. It is recommended that staff conduct a walkthrough of the outdoor environment daily to check for hazardous, debris, and to ensure that all items are in good repair. This can also be documented on the outdoor playground inspection form. 2. We discussed that staff incorporate a daily time to check their sign in and out sheet to ensure that all children have been signed in and out for the day. 3. We discussed administrators or support staff reviewing children’s documents during enrollment to ensure that the application has been signed by the parent and all applicable information is completed on each document. 4. We discussed administrators, support staff, and teaching staff reviewing medications prior to them being in the classroom to ensure that the permission to administer form is correctly filled out. We discussed staff checking medications quarterly to ensure that all documents and medications are still in compliance. 5. We discussed that the facility should be in good repair, free of chipping paint, and easy to clean. We discussed staff conducting room inspections to ensure that walls, materials, and furnishings are in good repair. 6. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all outlets and power strips are covered with safety cover. 7. We discussed ensuring that new staff have their required documents on file according to the Staff File Checklist and available for review by DCDEE representatives. Consultation was provided on the following: 1. We discussed adding the child’s date of enrollment to the facility’s discipline policy to meet the requirements of the rule. 2. We discussed that staff should be monitoring and engaging with children during outdoor play. Staff should be positioned on the playground to ensure that all children can be seen and heard. It is recommended that adult chairs be removed from the playground to ensure that staff are always moving about the playground and supervising children. 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 June 11, 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: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 90 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 11:20 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s Rated License visit was to monitor for compliance with applicable child care requirements and to complete a rated license assessment. You, Piper Cline, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on June 13, 2023. The facility operates with a four-star license issued on June 5, 2018, earning 2 points in program standards, 7 points in education standards, and 1 quality point. The 18-month compliance history is at 91% as of November 22, 2023. The last sanitation inspection was completed on May 30, 2023, with a “Superior” classification. The last fire inspection was completed on March 7, 2023, and your facility was approved for daytime care only. I observed your Four-Star License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed adequate supervision during today’s visit, licensed capacity, and permit restrictions maintained during today’s visit. I observed sign-in and out sheets located in each classroom. I observed children engaged in free choice activities, teacher directed activities, toileting and handwashing routines, and rest time. I observed and monitored one prescription medication in the facility. I observed and monitored 28 over-the-counter topical ointments and sunscreens in the facility today. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on November 28, 2023, at 9:30am with nineteen seconds to evacuate. I observed the most recent emergency drill in the form of a lockdown was conducted on October 27, 2023, at 9:40am with twelve seconds to lockdown. I observed five new staff members had been hired since the last ACV on June 13, 2023. I monitored these four new staff members files during today’s visit. I monitored nineteen existing staff members files for current Criminal Background Qualification letters, First Aid/CPR, ITS-SIDS, and Recognizing and Responding to Suspicions of Child Maltreatment training. Rated License Information: Today we discussed the rated license for your facility. We discussed the staff education of your current employees. The education was reviewed with you. You stated that you do not wish to have the Environmental Rating Scale (ERS) completed at your facility. You completed the Application for Assessment for a Two Component Star Rated License and September 5, 2023, and sent it to me via email. You also sent the completed staff information sheet for rated license. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced space. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. The following violation was cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Visible dirt were observed on cabinet doors, trashcans, paper towel, and soap dispensers throughout the facility. Chipping paint on walls, sinks, and cribs were observed throughout the facility. 15A NCAC 18A .2825(a) 847 Parent's medication authorization did not include required information. In space 2 and space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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. In space 1, a sunscreen ointment had an expiration date of 8/2020. You removed the sunscreen from the classroom during the visit. In space 2, a child's permission to administer topical ointment expired on 11/1/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 7, two children were missing documented sleep checks on their sleep check logs. .0606(g) 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 hired on 2/15/17 First Aid certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .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 hired on 2/15/17 CPR certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .1102(d) 1301 Center did not maintain a record of daily attendance. In space 4, three children were not signed in for today (11/29/23). A staff member signed the children in during the visit. On 11/27/23, four children were not signed out. On 11/28/23, one child was not signed out. GS 110-91(9) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space 2, a child's prescribed medication was not stored in the original packaging. 10A NCAC 09 .0803(2)(b)(i-v) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that First Aid/CPR should be renewed on or before the expiration date of certification. Please ensure that staff are taking these trainings through an approved agency. Approved agencies can be found on the DCDEE website. Online platforms for First Aid/CPR are not permitted. 2. We discussed that over-the-counter topical ointments and sunscreens should have a valid expiration date on the bottle. Please ensure that staff are checking their ointments on a regular basis to ensure that the ointments have not expired. Ointments that have expired should be discarded or removed from the classroom and sent back to the parent. 3. We discussed that permission to administer over the counter topical ointments should be valid at all times. We discussed ensuring that staff check permission forms on a regular basis to ensure that permission forms have not expired. 4. We discussed that when topical ointments come into the facility that the permission to administer forms are reviewed with the parent to ensure that the form is filled out completely and correctly. 5. We discussed that medications should be brought in the original packaging, unopened. We discussed the correct permission form to use prescription medications. 6. We discussed that due to the facility not have a cut off time for arrival, staff should check their sign in/out sheet frequently to ensure that all children have been signed in and out by the parent daily. 7. We discussed that infant sleep checks are required to be documented every 15 minutes. 8. We discussed ensuring that walls, cabinets, trashcans, soap dispensers, paper towel dispensers, and table ledges are properly cleaned to prevent visible dirt. 9. We discussed that walls, cribs, and furniture should be free of chipping paint. 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 13, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 90 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 11:20 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s Rated License visit was to monitor for compliance with applicable child care requirements and to complete a rated license assessment. You, Piper Cline, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on June 13, 2023. The facility operates with a four-star license issued on June 5, 2018, earning 2 points in program standards, 7 points in education standards, and 1 quality point. The 18-month compliance history is at 91% as of November 22, 2023. The last sanitation inspection was completed on May 30, 2023, with a “Superior” classification. The last fire inspection was completed on March 7, 2023, and your facility was approved for daytime care only. I observed your Four-Star License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed adequate supervision during today’s visit, licensed capacity, and permit restrictions maintained during today’s visit. I observed sign-in and out sheets located in each classroom. I observed children engaged in free choice activities, teacher directed activities, toileting and handwashing routines, and rest time. I observed and monitored one prescription medication in the facility. I observed and monitored 28 over-the-counter topical ointments and sunscreens in the facility today. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on November 28, 2023, at 9:30am with nineteen seconds to evacuate. I observed the most recent emergency drill in the form of a lockdown was conducted on October 27, 2023, at 9:40am with twelve seconds to lockdown. I observed five new staff members had been hired since the last ACV on June 13, 2023. I monitored these four new staff members files during today’s visit. I monitored nineteen existing staff members files for current Criminal Background Qualification letters, First Aid/CPR, ITS-SIDS, and Recognizing and Responding to Suspicions of Child Maltreatment training. Rated License Information: Today we discussed the rated license for your facility. We discussed the staff education of your current employees. The education was reviewed with you. You stated that you do not wish to have the Environmental Rating Scale (ERS) completed at your facility. You completed the Application for Assessment for a Two Component Star Rated License and September 5, 2023, and sent it to me via email. You also sent the completed staff information sheet for rated license. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced space. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. The following violation was cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Visible dirt were observed on cabinet doors, trashcans, paper towel, and soap dispensers throughout the facility. Chipping paint on walls, sinks, and cribs were observed throughout the facility. 15A NCAC 18A .2825(a) 847 Parent's medication authorization did not include required information. In space 2 and space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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. In space 1, a sunscreen ointment had an expiration date of 8/2020. You removed the sunscreen from the classroom during the visit. In space 2, a child's permission to administer topical ointment expired on 11/1/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 7, two children were missing documented sleep checks on their sleep check logs. .0606(g) 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 hired on 2/15/17 First Aid certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .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 hired on 2/15/17 CPR certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .1102(d) 1301 Center did not maintain a record of daily attendance. In space 4, three children were not signed in for today (11/29/23). A staff member signed the children in during the visit. On 11/27/23, four children were not signed out. On 11/28/23, one child was not signed out. GS 110-91(9) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space 2, a child's prescribed medication was not stored in the original packaging. 10A NCAC 09 .0803(2)(b)(i-v) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that First Aid/CPR should be renewed on or before the expiration date of certification. Please ensure that staff are taking these trainings through an approved agency. Approved agencies can be found on the DCDEE website. Online platforms for First Aid/CPR are not permitted. 2. We discussed that over-the-counter topical ointments and sunscreens should have a valid expiration date on the bottle. Please ensure that staff are checking their ointments on a regular basis to ensure that the ointments have not expired. Ointments that have expired should be discarded or removed from the classroom and sent back to the parent. 3. We discussed that permission to administer over the counter topical ointments should be valid at all times. We discussed ensuring that staff check permission forms on a regular basis to ensure that permission forms have not expired. 4. We discussed that when topical ointments come into the facility that the permission to administer forms are reviewed with the parent to ensure that the form is filled out completely and correctly. 5. We discussed that medications should be brought in the original packaging, unopened. We discussed the correct permission form to use prescription medications. 6. We discussed that due to the facility not have a cut off time for arrival, staff should check their sign in/out sheet frequently to ensure that all children have been signed in and out by the parent daily. 7. We discussed that infant sleep checks are required to be documented every 15 minutes. 8. We discussed ensuring that walls, cabinets, trashcans, soap dispensers, paper towel dispensers, and table ledges are properly cleaned to prevent visible dirt. 9. We discussed that walls, cribs, and furniture should be free of chipping paint. 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 13, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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

NC GS 110-90 · Violation

Name of Operation: AMERICAN CHILD, INC. Facility ID: 49000193 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/29/2023 Number Present: 90 Completed Date: 11/29/2023 Age: From 0 To 5 Total Minutes: 330 Time In: 11:20 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Unannounced The purpose of today’s Rated License visit was to monitor for compliance with applicable child care requirements and to complete a rated license assessment. You, Piper Cline, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on June 13, 2023. The facility operates with a four-star license issued on June 5, 2018, earning 2 points in program standards, 7 points in education standards, and 1 quality point. The 18-month compliance history is at 91% as of November 22, 2023. The last sanitation inspection was completed on May 30, 2023, with a “Superior” classification. The last fire inspection was completed on March 7, 2023, and your facility was approved for daytime care only. I observed your Four-Star License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed adequate supervision during today’s visit, licensed capacity, and permit restrictions maintained during today’s visit. I observed sign-in and out sheets located in each classroom. I observed children engaged in free choice activities, teacher directed activities, toileting and handwashing routines, and rest time. I observed and monitored one prescription medication in the facility. I observed and monitored 28 over-the-counter topical ointments and sunscreens in the facility today. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on November 28, 2023, at 9:30am with nineteen seconds to evacuate. I observed the most recent emergency drill in the form of a lockdown was conducted on October 27, 2023, at 9:40am with twelve seconds to lockdown. I observed five new staff members had been hired since the last ACV on June 13, 2023. I monitored these four new staff members files during today’s visit. I monitored nineteen existing staff members files for current Criminal Background Qualification letters, First Aid/CPR, ITS-SIDS, and Recognizing and Responding to Suspicions of Child Maltreatment training. Rated License Information: Today we discussed the rated license for your facility. We discussed the staff education of your current employees. The education was reviewed with you. You stated that you do not wish to have the Environmental Rating Scale (ERS) completed at your facility. You completed the Application for Assessment for a Two Component Star Rated License and September 5, 2023, and sent it to me via email. You also sent the completed staff information sheet for rated license. Program Standards: The facility will earn 2 points in Program Standards for meeting requirements in Child Care Rule .2806 and meeting enhanced space. Education Standards: Today we discussed education for your current staff members. We discussed that new staff members will need to create a WORKS account and send in official transcripts to the Workforce Unit for evaluation. Education points will be determined upon receipt of evaluation results from the workforce unit. Quality Point: The facility has earned 1 quality point by having operational policies. Total points for a Star Rated License will be determined upon receipt of evaluation results from the Workforce Unit. The following violation was cited during today’s visit: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean and in good repair. Visible dirt were observed on cabinet doors, trashcans, paper towel, and soap dispensers throughout the facility. Chipping paint on walls, sinks, and cribs were observed throughout the facility. 15A NCAC 18A .2825(a) 847 Parent's medication authorization did not include required information. In space 2 and space 5b, one child's permission to administer form was incomplete. 10A NCAC 09 .0803(4)(6-9) 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. In space 1, a sunscreen ointment had an expiration date of 8/2020. You removed the sunscreen from the classroom during the visit. In space 2, a child's permission to administer topical ointment expired on 11/1/23. .0803(12) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space 7, two children were missing documented sleep checks on their sleep check logs. .0606(g) 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 hired on 2/15/17 First Aid certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .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 hired on 2/15/17 CPR certification expired on 7/31/23. The staff member renewed the certification on 8/21/23. .1102(d) 1301 Center did not maintain a record of daily attendance. In space 4, three children were not signed in for today (11/29/23). A staff member signed the children in during the visit. On 11/27/23, four children were not signed out. On 11/28/23, one child was not signed out. GS 110-91(9) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In space 2, a child's prescribed medication was not stored in the original packaging. 10A NCAC 09 .0803(2)(b)(i-v) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that First Aid/CPR should be renewed on or before the expiration date of certification. Please ensure that staff are taking these trainings through an approved agency. Approved agencies can be found on the DCDEE website. Online platforms for First Aid/CPR are not permitted. 2. We discussed that over-the-counter topical ointments and sunscreens should have a valid expiration date on the bottle. Please ensure that staff are checking their ointments on a regular basis to ensure that the ointments have not expired. Ointments that have expired should be discarded or removed from the classroom and sent back to the parent. 3. We discussed that permission to administer over the counter topical ointments should be valid at all times. We discussed ensuring that staff check permission forms on a regular basis to ensure that permission forms have not expired. 4. We discussed that when topical ointments come into the facility that the permission to administer forms are reviewed with the parent to ensure that the form is filled out completely and correctly. 5. We discussed that medications should be brought in the original packaging, unopened. We discussed the correct permission form to use prescription medications. 6. We discussed that due to the facility not have a cut off time for arrival, staff should check their sign in/out sheet frequently to ensure that all children have been signed in and out by the parent daily. 7. We discussed that infant sleep checks are required to be documented every 15 minutes. 8. We discussed ensuring that walls, cabinets, trashcans, soap dispensers, paper towel dispensers, and table ledges are properly cleaned to prevent visible dirt. 9. We discussed that walls, cribs, and furniture should be free of chipping paint. 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 13, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. 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