Celeste Henkel - ISS Staff Childcare

10A NCAC 09 .0713 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 8 Completed Date: 9/9/2025 Age: From 1 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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, Melissa Vasquez-Amaya, Teacher, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 24, 2025. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was completed on April 15, 2025, and your facility was approved for daytime care only. The center's one-star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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. The program’s compliance history was eighty-nine percent prior to today’s visit. Upon arrival, I rang the doorbell to the classroom. You opened the door and I observed you caring for eight children ages one to four years of age. I asked you how long you have been out of ratio, and you stated since 6:30am. You stated one staff member was absent today, you had notified administrative staff, and contacted a substitute multiple times. A substitute arrived to the classroom at 12:00pm. I observed you toileting children that needed assistance at the bathroom located inside the classroom. I asked you if the door to the bathroom extended all the way back for you to be able to see the other children. The door does not extend causing supervision to be limited when you are toileting children. During this time, children were asked to sit at the table. Children were observed throwing toys, putting items in their mouth, opening cabinet doors, and handling other children roughly. On May 28, 2025, I had email correspondence with Jill Wingler, Administrator, stating the ISS- Staff Childcare centers will serve children two years of age and up having the rooms divided when needed. On July 29, 2025, I received an email from you, Mrs. Vasquez- Amaya, with a question referring to staff/child ratios. I responded to your email with the staff/child ratio and explained that the facility follows the staff/child ratios listed under minimum requirements. I also informed you that infants cannot be with children two years of age and older; and children one years of age cannot be with children three years of age and older. You must follow the ratio of the youngest child in care. Room B115 is licensed as two spaces; space 115a with a capacity of 17 and space 115b with a capacity of 19. A walkthrough of the facility was completed. Children were observed engaging in free choice activities, outdoor gross motor play, toileting and handwashing routines, diapering routines, and lunch. The last fire drill was completed on August 20, 2025. The last documented emergency drill was completed on April 4, 2025. The last outdoor playground inspection was completed on August 1, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally and appropriate. Two prescription topical medications and their permission to administer form was monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. The facility does not provide transportation. Clean Water for Carolina Kids documents that the testing kit for Lead Water has been shipped to the facility. The facility has enrolled in the Lead Paint and Asbestos testing. The facility has begun the facility roster within the ABCMS portal, however all staff are not documented on the roster. The following violations were documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was caring for children one year of age to four years of age from 6:30am until 12:00pm. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member was assisting children with toileting inside the classroom restroom. During this time, children were unable to been seen by the staff member due to being inside the restroom. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one years of age was grouped with children three years of age and older. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated for 9/2/25 to 9/5/25. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for May 2025. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Items stored in plastic wrap, q-tips, mini pom pom balls, and mini Legos were accessible to children under three years of age. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was consuming a can of Diet Dr. Pepper while children were in care. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility does not have all current employees listed on the ABCMS portal roster. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not conducted/documented for August 2025. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discuss that the ratio of the youngest child must be maintained at all times. We discussed staff communicating with administrative staff in advance when absences may occur in order for arrangements to be made for the facility. Policies should be put in place to ensure that staff remain in ratio, it is recommended that staff consider creating a substitute list to reach out to when absences occur. 2. We discussed staff positioning themselves where children can be seen and heard. It is recommended that staff consult with maintenance staff to inquire about switching the door hinges to allow the bathroom door to extend all the way back. This will allow staff to be able to see into the room if they must assist a child in the bathroom. 3. 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) 814-6401 and someone will assist you. 4. We discussed setting the room back up as two classrooms with shelving serving as dividers. Children one to two years of age can be located on one half of the classroom and children three to five years of age can be located on the opposite side. Children two years of age through five years of age can be grouped together, as long as the ratio of the youngest child in care is maintained. 5. We discussed staff keeping a reminder on a calendar or in their cell phone as a reminder to document fire drills and emergency drills as they occur. Fire drills and outdoor playground inspections are to be conducted monthly and emergency drills are to be conducted every three months. 6. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into an insulated cup with a lid and also consume special items in a disclosed location. This was corrected during the visit by the staff member pouring the drink in a insulated cup with a lid. 7. We discussed that items that are stored in plastic wrap, can be easily torn apart, or swallowed should be inaccessible to children under three years of age. 8. We discussed staff posting their activity plans on Fridays prior to leaving for the weekend to ensure that the activity plan is current for the upcoming week. This was corrected during the visit by a staff member posting a current activity plan. Consultation was provided on the following: 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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are 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 September 23, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 8 Completed Date: 9/9/2025 Age: From 1 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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, Melissa Vasquez-Amaya, Teacher, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 24, 2025. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was completed on April 15, 2025, and your facility was approved for daytime care only. The center's one-star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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. The program’s compliance history was eighty-nine percent prior to today’s visit. Upon arrival, I rang the doorbell to the classroom. You opened the door and I observed you caring for eight children ages one to four years of age. I asked you how long you have been out of ratio, and you stated since 6:30am. You stated one staff member was absent today, you had notified administrative staff, and contacted a substitute multiple times. A substitute arrived to the classroom at 12:00pm. I observed you toileting children that needed assistance at the bathroom located inside the classroom. I asked you if the door to the bathroom extended all the way back for you to be able to see the other children. The door does not extend causing supervision to be limited when you are toileting children. During this time, children were asked to sit at the table. Children were observed throwing toys, putting items in their mouth, opening cabinet doors, and handling other children roughly. On May 28, 2025, I had email correspondence with Jill Wingler, Administrator, stating the ISS- Staff Childcare centers will serve children two years of age and up having the rooms divided when needed. On July 29, 2025, I received an email from you, Mrs. Vasquez- Amaya, with a question referring to staff/child ratios. I responded to your email with the staff/child ratio and explained that the facility follows the staff/child ratios listed under minimum requirements. I also informed you that infants cannot be with children two years of age and older; and children one years of age cannot be with children three years of age and older. You must follow the ratio of the youngest child in care. Room B115 is licensed as two spaces; space 115a with a capacity of 17 and space 115b with a capacity of 19. A walkthrough of the facility was completed. Children were observed engaging in free choice activities, outdoor gross motor play, toileting and handwashing routines, diapering routines, and lunch. The last fire drill was completed on August 20, 2025. The last documented emergency drill was completed on April 4, 2025. The last outdoor playground inspection was completed on August 1, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally and appropriate. Two prescription topical medications and their permission to administer form was monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. The facility does not provide transportation. Clean Water for Carolina Kids documents that the testing kit for Lead Water has been shipped to the facility. The facility has enrolled in the Lead Paint and Asbestos testing. The facility has begun the facility roster within the ABCMS portal, however all staff are not documented on the roster. The following violations were documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was caring for children one year of age to four years of age from 6:30am until 12:00pm. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member was assisting children with toileting inside the classroom restroom. During this time, children were unable to been seen by the staff member due to being inside the restroom. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one years of age was grouped with children three years of age and older. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated for 9/2/25 to 9/5/25. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for May 2025. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Items stored in plastic wrap, q-tips, mini pom pom balls, and mini Legos were accessible to children under three years of age. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was consuming a can of Diet Dr. Pepper while children were in care. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility does not have all current employees listed on the ABCMS portal roster. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not conducted/documented for August 2025. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discuss that the ratio of the youngest child must be maintained at all times. We discussed staff communicating with administrative staff in advance when absences may occur in order for arrangements to be made for the facility. Policies should be put in place to ensure that staff remain in ratio, it is recommended that staff consider creating a substitute list to reach out to when absences occur. 2. We discussed staff positioning themselves where children can be seen and heard. It is recommended that staff consult with maintenance staff to inquire about switching the door hinges to allow the bathroom door to extend all the way back. This will allow staff to be able to see into the room if they must assist a child in the bathroom. 3. 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) 814-6401 and someone will assist you. 4. We discussed setting the room back up as two classrooms with shelving serving as dividers. Children one to two years of age can be located on one half of the classroom and children three to five years of age can be located on the opposite side. Children two years of age through five years of age can be grouped together, as long as the ratio of the youngest child in care is maintained. 5. We discussed staff keeping a reminder on a calendar or in their cell phone as a reminder to document fire drills and emergency drills as they occur. Fire drills and outdoor playground inspections are to be conducted monthly and emergency drills are to be conducted every three months. 6. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into an insulated cup with a lid and also consume special items in a disclosed location. This was corrected during the visit by the staff member pouring the drink in a insulated cup with a lid. 7. We discussed that items that are stored in plastic wrap, can be easily torn apart, or swallowed should be inaccessible to children under three years of age. 8. We discussed staff posting their activity plans on Fridays prior to leaving for the weekend to ensure that the activity plan is current for the upcoming week. This was corrected during the visit by a staff member posting a current activity plan. Consultation was provided on the following: 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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are 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 September 23, 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

GS 110-91 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 8 Completed Date: 9/9/2025 Age: From 1 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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, Melissa Vasquez-Amaya, Teacher, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 24, 2025. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was completed on April 15, 2025, and your facility was approved for daytime care only. The center's one-star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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. The program’s compliance history was eighty-nine percent prior to today’s visit. Upon arrival, I rang the doorbell to the classroom. You opened the door and I observed you caring for eight children ages one to four years of age. I asked you how long you have been out of ratio, and you stated since 6:30am. You stated one staff member was absent today, you had notified administrative staff, and contacted a substitute multiple times. A substitute arrived to the classroom at 12:00pm. I observed you toileting children that needed assistance at the bathroom located inside the classroom. I asked you if the door to the bathroom extended all the way back for you to be able to see the other children. The door does not extend causing supervision to be limited when you are toileting children. During this time, children were asked to sit at the table. Children were observed throwing toys, putting items in their mouth, opening cabinet doors, and handling other children roughly. On May 28, 2025, I had email correspondence with Jill Wingler, Administrator, stating the ISS- Staff Childcare centers will serve children two years of age and up having the rooms divided when needed. On July 29, 2025, I received an email from you, Mrs. Vasquez- Amaya, with a question referring to staff/child ratios. I responded to your email with the staff/child ratio and explained that the facility follows the staff/child ratios listed under minimum requirements. I also informed you that infants cannot be with children two years of age and older; and children one years of age cannot be with children three years of age and older. You must follow the ratio of the youngest child in care. Room B115 is licensed as two spaces; space 115a with a capacity of 17 and space 115b with a capacity of 19. A walkthrough of the facility was completed. Children were observed engaging in free choice activities, outdoor gross motor play, toileting and handwashing routines, diapering routines, and lunch. The last fire drill was completed on August 20, 2025. The last documented emergency drill was completed on April 4, 2025. The last outdoor playground inspection was completed on August 1, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally and appropriate. Two prescription topical medications and their permission to administer form was monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. The facility does not provide transportation. Clean Water for Carolina Kids documents that the testing kit for Lead Water has been shipped to the facility. The facility has enrolled in the Lead Paint and Asbestos testing. The facility has begun the facility roster within the ABCMS portal, however all staff are not documented on the roster. The following violations were documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was caring for children one year of age to four years of age from 6:30am until 12:00pm. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member was assisting children with toileting inside the classroom restroom. During this time, children were unable to been seen by the staff member due to being inside the restroom. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one years of age was grouped with children three years of age and older. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated for 9/2/25 to 9/5/25. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for May 2025. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Items stored in plastic wrap, q-tips, mini pom pom balls, and mini Legos were accessible to children under three years of age. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was consuming a can of Diet Dr. Pepper while children were in care. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility does not have all current employees listed on the ABCMS portal roster. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not conducted/documented for August 2025. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discuss that the ratio of the youngest child must be maintained at all times. We discussed staff communicating with administrative staff in advance when absences may occur in order for arrangements to be made for the facility. Policies should be put in place to ensure that staff remain in ratio, it is recommended that staff consider creating a substitute list to reach out to when absences occur. 2. We discussed staff positioning themselves where children can be seen and heard. It is recommended that staff consult with maintenance staff to inquire about switching the door hinges to allow the bathroom door to extend all the way back. This will allow staff to be able to see into the room if they must assist a child in the bathroom. 3. 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) 814-6401 and someone will assist you. 4. We discussed setting the room back up as two classrooms with shelving serving as dividers. Children one to two years of age can be located on one half of the classroom and children three to five years of age can be located on the opposite side. Children two years of age through five years of age can be grouped together, as long as the ratio of the youngest child in care is maintained. 5. We discussed staff keeping a reminder on a calendar or in their cell phone as a reminder to document fire drills and emergency drills as they occur. Fire drills and outdoor playground inspections are to be conducted monthly and emergency drills are to be conducted every three months. 6. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into an insulated cup with a lid and also consume special items in a disclosed location. This was corrected during the visit by the staff member pouring the drink in a insulated cup with a lid. 7. We discussed that items that are stored in plastic wrap, can be easily torn apart, or swallowed should be inaccessible to children under three years of age. 8. We discussed staff posting their activity plans on Fridays prior to leaving for the weekend to ensure that the activity plan is current for the upcoming week. This was corrected during the visit by a staff member posting a current activity plan. Consultation was provided on the following: 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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are 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 September 23, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 8 Completed Date: 9/9/2025 Age: From 1 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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, Melissa Vasquez-Amaya, Teacher, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 24, 2025. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was completed on April 15, 2025, and your facility was approved for daytime care only. The center's one-star license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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. The program’s compliance history was eighty-nine percent prior to today’s visit. Upon arrival, I rang the doorbell to the classroom. You opened the door and I observed you caring for eight children ages one to four years of age. I asked you how long you have been out of ratio, and you stated since 6:30am. You stated one staff member was absent today, you had notified administrative staff, and contacted a substitute multiple times. A substitute arrived to the classroom at 12:00pm. I observed you toileting children that needed assistance at the bathroom located inside the classroom. I asked you if the door to the bathroom extended all the way back for you to be able to see the other children. The door does not extend causing supervision to be limited when you are toileting children. During this time, children were asked to sit at the table. Children were observed throwing toys, putting items in their mouth, opening cabinet doors, and handling other children roughly. On May 28, 2025, I had email correspondence with Jill Wingler, Administrator, stating the ISS- Staff Childcare centers will serve children two years of age and up having the rooms divided when needed. On July 29, 2025, I received an email from you, Mrs. Vasquez- Amaya, with a question referring to staff/child ratios. I responded to your email with the staff/child ratio and explained that the facility follows the staff/child ratios listed under minimum requirements. I also informed you that infants cannot be with children two years of age and older; and children one years of age cannot be with children three years of age and older. You must follow the ratio of the youngest child in care. Room B115 is licensed as two spaces; space 115a with a capacity of 17 and space 115b with a capacity of 19. A walkthrough of the facility was completed. Children were observed engaging in free choice activities, outdoor gross motor play, toileting and handwashing routines, diapering routines, and lunch. The last fire drill was completed on August 20, 2025. The last documented emergency drill was completed on April 4, 2025. The last outdoor playground inspection was completed on August 1, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally and appropriate. Two prescription topical medications and their permission to administer form was monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. The facility does not provide transportation. Clean Water for Carolina Kids documents that the testing kit for Lead Water has been shipped to the facility. The facility has enrolled in the Lead Paint and Asbestos testing. The facility has begun the facility roster within the ABCMS portal, however all staff are not documented on the roster. The following violations were documented during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was caring for children one year of age to four years of age from 6:30am until 12:00pm. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. A staff member was assisting children with toileting inside the classroom restroom. During this time, children were unable to been seen by the staff member due to being inside the restroom. .1801(a)(1-5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. A child one years of age was grouped with children three years of age and older. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. The activity plan posted was dated for 9/2/25 to 9/5/25. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for May 2025. .0604(t); .0302(d)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Items stored in plastic wrap, q-tips, mini pom pom balls, and mini Legos were accessible to children under three years of age. .0604(q) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member was consuming a can of Diet Dr. Pepper while children were in care. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility does not have all current employees listed on the ABCMS portal roster. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was not conducted/documented for August 2025. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discuss that the ratio of the youngest child must be maintained at all times. We discussed staff communicating with administrative staff in advance when absences may occur in order for arrangements to be made for the facility. Policies should be put in place to ensure that staff remain in ratio, it is recommended that staff consider creating a substitute list to reach out to when absences occur. 2. We discussed staff positioning themselves where children can be seen and heard. It is recommended that staff consult with maintenance staff to inquire about switching the door hinges to allow the bathroom door to extend all the way back. This will allow staff to be able to see into the room if they must assist a child in the bathroom. 3. 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) 814-6401 and someone will assist you. 4. We discussed setting the room back up as two classrooms with shelving serving as dividers. Children one to two years of age can be located on one half of the classroom and children three to five years of age can be located on the opposite side. Children two years of age through five years of age can be grouped together, as long as the ratio of the youngest child in care is maintained. 5. We discussed staff keeping a reminder on a calendar or in their cell phone as a reminder to document fire drills and emergency drills as they occur. Fire drills and outdoor playground inspections are to be conducted monthly and emergency drills are to be conducted every three months. 6. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into an insulated cup with a lid and also consume special items in a disclosed location. This was corrected during the visit by the staff member pouring the drink in a insulated cup with a lid. 7. We discussed that items that are stored in plastic wrap, can be easily torn apart, or swallowed should be inaccessible to children under three years of age. 8. We discussed staff posting their activity plans on Fridays prior to leaving for the weekend to ensure that the activity plan is current for the upcoming week. This was corrected during the visit by a staff member posting a current activity plan. Consultation was provided on the following: 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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are 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 September 23, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 15 Completed Date: 4/24/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The last annual compliance visit was conducted on May 10, 2024. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was conducted April 15, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety percent prior to today’s visit. The center's one-star unrated 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, outdoor play, 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 28, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on Mach 31, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on April 1, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medical action plans, emergency medications, and topical ointments 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 415 A current schedule was not posted for each group of children for reference. In space B113 the posted activity plan was dated for 4/7/25 through 4/11/25. GS 110-91(12);.0508(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 115b, a child's emergency medication was not in the original packaging from the pharmacy. .0803(2)(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/27/25 has not completed six hours of orientation training within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space B113, attendance records were missing for February and March. GS 110-91(9) 1314 Emergency information did not name childs health care professional. A child enrolled on 8/5/24 did not have a health care professional listed on the application. .0802(c)(2) Technical Assistance was provided on the following: • We discussed that prior to leaving for the weekend, staff posting the activity plan for the upcoming week to ensure that it is current and posted. • We discussed that during the enrollment period that paperwork is reviewed with parents to ensure that all documents are completed. Items that do not apply should be marked with “N/A”. Parents should list a health care professional and a hospital preference on the child’s application. • We discussed that new staff should complete six hours of orientation within the first two weeks of employment. A minimum of sixteen hours of orientation should be completed within six weeks of hire and documented on the orientation documentation form. • We discussed that when receiving medications from parents, the medication is in the original pharmacy labeled packaging. • We discussed ensuring that attendance records are maintained daily. This should be documented on the attendance report for children form. It is recommended that staff complete attendance shortly after the centers cut off time to ensure that it is completed and up to date. Consultation was provided on the following: 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; 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 8, 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

GS 110-91 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 15 Completed Date: 4/24/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The last annual compliance visit was conducted on May 10, 2024. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was conducted April 15, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety percent prior to today’s visit. The center's one-star unrated 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, outdoor play, 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 28, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on Mach 31, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on April 1, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medical action plans, emergency medications, and topical ointments 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 415 A current schedule was not posted for each group of children for reference. In space B113 the posted activity plan was dated for 4/7/25 through 4/11/25. GS 110-91(12);.0508(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 115b, a child's emergency medication was not in the original packaging from the pharmacy. .0803(2)(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/27/25 has not completed six hours of orientation training within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space B113, attendance records were missing for February and March. GS 110-91(9) 1314 Emergency information did not name childs health care professional. A child enrolled on 8/5/24 did not have a health care professional listed on the application. .0802(c)(2) Technical Assistance was provided on the following: • We discussed that prior to leaving for the weekend, staff posting the activity plan for the upcoming week to ensure that it is current and posted. • We discussed that during the enrollment period that paperwork is reviewed with parents to ensure that all documents are completed. Items that do not apply should be marked with “N/A”. Parents should list a health care professional and a hospital preference on the child’s application. • We discussed that new staff should complete six hours of orientation within the first two weeks of employment. A minimum of sixteen hours of orientation should be completed within six weeks of hire and documented on the orientation documentation form. • We discussed that when receiving medications from parents, the medication is in the original pharmacy labeled packaging. • We discussed ensuring that attendance records are maintained daily. This should be documented on the attendance report for children form. It is recommended that staff complete attendance shortly after the centers cut off time to ensure that it is completed and up to date. Consultation was provided on the following: 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; 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 8, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 15 Completed Date: 4/24/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:00 AM Time Out: 12:35 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The last annual compliance visit was conducted on May 10, 2024. The last sanitation inspection was completed on April 1, 2025, with a “Superior” classification. The last fire inspection was conducted April 15, 2025, and your facility was approved for daytime care only. The program’s compliance history was ninety percent prior to today’s visit. The center's one-star unrated 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, outdoor play, 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 28, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on Mach 31, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on April 1, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medical action plans, emergency medications, and topical ointments 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 415 A current schedule was not posted for each group of children for reference. In space B113 the posted activity plan was dated for 4/7/25 through 4/11/25. GS 110-91(12);.0508(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 115b, a child's emergency medication was not in the original packaging from the pharmacy. .0803(2)(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/27/25 has not completed six hours of orientation training within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space B113, attendance records were missing for February and March. GS 110-91(9) 1314 Emergency information did not name childs health care professional. A child enrolled on 8/5/24 did not have a health care professional listed on the application. .0802(c)(2) Technical Assistance was provided on the following: • We discussed that prior to leaving for the weekend, staff posting the activity plan for the upcoming week to ensure that it is current and posted. • We discussed that during the enrollment period that paperwork is reviewed with parents to ensure that all documents are completed. Items that do not apply should be marked with “N/A”. Parents should list a health care professional and a hospital preference on the child’s application. • We discussed that new staff should complete six hours of orientation within the first two weeks of employment. A minimum of sixteen hours of orientation should be completed within six weeks of hire and documented on the orientation documentation form. • We discussed that when receiving medications from parents, the medication is in the original pharmacy labeled packaging. • We discussed ensuring that attendance records are maintained daily. This should be documented on the attendance report for children form. It is recommended that staff complete attendance shortly after the centers cut off time to ensure that it is completed and up to date. Consultation was provided on the following: 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; 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 8, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 20 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The last annual compliance visit was conducted on May 10, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, 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, toileting and handwashing routines, teacher directed activities, outdoor gross motor play, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on December 12, 2024.. Emergency drills are being completed as required. The last emergency drill was completed on August 5, 2024. Your playground meets child care safety standards. The last outdoor inspection was completed on December 4, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I observed activity areas set up in the living area, kitchen and back bedroom including books, blocks, manipulatives, music, art, and dramatic play. All topical ointments and their permission to administer forms were monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid and CPR, ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment training, during today’s visit. A staff member hired on 6/1/23 did not have a current Criminal Background Check qualification letter on file for review. The regulatory ABCMS system was reviewed during today’s visit and the staff member qualification letter expired on 10/9/2024. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. The facility does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 6/1/23 did not have a current qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed on August 5, 2024. An emergency drill was not completed or documented for November 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on3/21/24 did not complete recognizing and responding to suspicions of child maltreatment within 90 days of employment. The training was completed on 8/1/24. .1102(g) Technical Assistance was provided on the following: 1. We discussed that Criminal Background Checks are required to be completed every 5 years. Criminal Background Checks should be renewed before the expiration date of the current letter. It is recommended that staff are aware of their expiration date and complete the process through the ABCMS system prior to the expiration date. Please mail me a copy of the current Criminal Background Check Qualification letter. 2. We discussed putting a reminder on calendars or in phones to ensure that emergency drills are conducted every three months. Emergency drills should be documented on the Emergency Drill Log and Report form. 3. We discussed creating a spreadsheet for new hires and setting reminders to ensure that staff have obtained all required trainings within the required timeframe. Please refer to the staff and training worksheet or the staff file checklist to know the timeline to complete specific trainings. Consultation was provided on the following: 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. While not an issues today, we discussed that individuals with a provisional criminal background check qualification letter may not be left alone with children. 3. Child Care Rule .0601 (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. Please email a copy of your results once they are received. 4. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. Here are some important links on the DCEEE website that may be helpful: a. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ b. Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License c. Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development d. DCDEE ABCMS Criminal Background Portal: https://ncabcms.nc.gov/DCDEE/Applicant/ e. Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings f. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy g. DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New h. Emergency Preparedness and Response: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response 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 January 1, 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 ma 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 20 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The last annual compliance visit was conducted on May 10, 2024. The center's compliance history was reviewed with the operator. The program’s compliance history was 90 percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, 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, toileting and handwashing routines, teacher directed activities, outdoor gross motor play, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on December 12, 2024.. Emergency drills are being completed as required. The last emergency drill was completed on August 5, 2024. Your playground meets child care safety standards. The last outdoor inspection was completed on December 4, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I observed activity areas set up in the living area, kitchen and back bedroom including books, blocks, manipulatives, music, art, and dramatic play. All topical ointments and their permission to administer forms were monitored to be in compliance during today’s visit. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid and CPR, ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment training, during today’s visit. A staff member hired on 6/1/23 did not have a current Criminal Background Check qualification letter on file for review. The regulatory ABCMS system was reviewed during today’s visit and the staff member qualification letter expired on 10/9/2024. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. The facility does not provide transportation. The following violations were documented during today’s visit. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 6/1/23 did not have a current qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed on August 5, 2024. An emergency drill was not completed or documented for November 2024. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on3/21/24 did not complete recognizing and responding to suspicions of child maltreatment within 90 days of employment. The training was completed on 8/1/24. .1102(g) Technical Assistance was provided on the following: 1. We discussed that Criminal Background Checks are required to be completed every 5 years. Criminal Background Checks should be renewed before the expiration date of the current letter. It is recommended that staff are aware of their expiration date and complete the process through the ABCMS system prior to the expiration date. Please mail me a copy of the current Criminal Background Check Qualification letter. 2. We discussed putting a reminder on calendars or in phones to ensure that emergency drills are conducted every three months. Emergency drills should be documented on the Emergency Drill Log and Report form. 3. We discussed creating a spreadsheet for new hires and setting reminders to ensure that staff have obtained all required trainings within the required timeframe. Please refer to the staff and training worksheet or the staff file checklist to know the timeline to complete specific trainings. Consultation was provided on the following: 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 2. While not an issues today, we discussed that individuals with a provisional criminal background check qualification letter may not be left alone with children. 3. Child Care Rule .0601 (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. Please email a copy of your results once they are received. 4. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. Here are some important links on the DCEEE website that may be helpful: a. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ b. Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License c. Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development d. DCDEE ABCMS Criminal Background Portal: https://ncabcms.nc.gov/DCDEE/Applicant/ e. Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings f. Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy g. DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New h. Emergency Preparedness and Response: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response 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 January 1, 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 ma 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility operates with a One-Star unrated license issued on February 8, 2024. The last sanitation inspection was completed on February 20, 2024, with a “Superior” classification. The last fire inspection was completed on August 1, 2023, 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 90 percent prior to today’s visit. The center's one-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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, outdoor time, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 7, 2024. Emergency drills are being conducted. The last emergency drill was completed on April 30, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one emergency medication and one medical action plan in the facility. 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 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 115b, an aerosol can of Lysol was stored in an unlocked cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/21/24 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's medical report was not completed by a physician. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report within 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain immunization records within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: 1. We discussed staff utilizing the staff file checklist to ensure that all documents are completed according to the timeframe listed on the checklist. Documents that are required to be updated annually should be updated on or before the date that is listed on the document. 2. We discussed staff checking children’s files quarterly to ensure that all documents are complete according to the timeframe listed on the checklist and in compliance. Each child is required to have a medical report and immunization records within 30 days of enrollment. 3. We discussed staff reviewing paperwork with families to ensure it is completely filled out and accurate. Medical reports should be completed by a physician. 4. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all hazardous products are properly stored. 5. We discussed utilizing the documentation of orientation form to ensure that new staff are receiving training on the required topics within the specified time frame. 6. We discussed ensuring that new staff have reviewed the shaken baby abuse and head trauma policy and signed acknowledgement prior to caring for children. Consultation was provided on the following: 1. When incidents occur, ensure that the incident report is filed in the child’s individual file. If a child seeks medical attention due to an incident, the completed incident report must be sent to the consultant within 7 days. 2. We discussed reaching out to the Partnership for Young Children for assistance with completing activity plans and how to implement the activities in the classroom. 3. We discussed staff reviewing the manufactures instructions on materials to determine if materials are age appropriate and developmentally appropriate. 4. We discussed ensuring that the proper permission to administer medication forms are completed. These forms can be found on the DCDEE website under provider forms and documents. 5. We discussed ensuring that new staffs medical information gets filed in your medical files that are separate from staffs personnel file. 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 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility operates with a One-Star unrated license issued on February 8, 2024. The last sanitation inspection was completed on February 20, 2024, with a “Superior” classification. The last fire inspection was completed on August 1, 2023, 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 90 percent prior to today’s visit. The center's one-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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, outdoor time, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 7, 2024. Emergency drills are being conducted. The last emergency drill was completed on April 30, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one emergency medication and one medical action plan in the facility. 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 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 115b, an aerosol can of Lysol was stored in an unlocked cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/21/24 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's medical report was not completed by a physician. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report within 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain immunization records within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: 1. We discussed staff utilizing the staff file checklist to ensure that all documents are completed according to the timeframe listed on the checklist. Documents that are required to be updated annually should be updated on or before the date that is listed on the document. 2. We discussed staff checking children’s files quarterly to ensure that all documents are complete according to the timeframe listed on the checklist and in compliance. Each child is required to have a medical report and immunization records within 30 days of enrollment. 3. We discussed staff reviewing paperwork with families to ensure it is completely filled out and accurate. Medical reports should be completed by a physician. 4. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all hazardous products are properly stored. 5. We discussed utilizing the documentation of orientation form to ensure that new staff are receiving training on the required topics within the specified time frame. 6. We discussed ensuring that new staff have reviewed the shaken baby abuse and head trauma policy and signed acknowledgement prior to caring for children. Consultation was provided on the following: 1. When incidents occur, ensure that the incident report is filed in the child’s individual file. If a child seeks medical attention due to an incident, the completed incident report must be sent to the consultant within 7 days. 2. We discussed reaching out to the Partnership for Young Children for assistance with completing activity plans and how to implement the activities in the classroom. 3. We discussed staff reviewing the manufactures instructions on materials to determine if materials are age appropriate and developmentally appropriate. 4. We discussed ensuring that the proper permission to administer medication forms are completed. These forms can be found on the DCDEE website under provider forms and documents. 5. We discussed ensuring that new staffs medical information gets filed in your medical files that are separate from staffs personnel file. 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 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility operates with a One-Star unrated license issued on February 8, 2024. The last sanitation inspection was completed on February 20, 2024, with a “Superior” classification. The last fire inspection was completed on August 1, 2023, 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 90 percent prior to today’s visit. The center's one-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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, outdoor time, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 7, 2024. Emergency drills are being conducted. The last emergency drill was completed on April 30, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one emergency medication and one medical action plan in the facility. 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 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 115b, an aerosol can of Lysol was stored in an unlocked cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/21/24 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's medical report was not completed by a physician. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report within 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain immunization records within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: 1. We discussed staff utilizing the staff file checklist to ensure that all documents are completed according to the timeframe listed on the checklist. Documents that are required to be updated annually should be updated on or before the date that is listed on the document. 2. We discussed staff checking children’s files quarterly to ensure that all documents are complete according to the timeframe listed on the checklist and in compliance. Each child is required to have a medical report and immunization records within 30 days of enrollment. 3. We discussed staff reviewing paperwork with families to ensure it is completely filled out and accurate. Medical reports should be completed by a physician. 4. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all hazardous products are properly stored. 5. We discussed utilizing the documentation of orientation form to ensure that new staff are receiving training on the required topics within the specified time frame. 6. We discussed ensuring that new staff have reviewed the shaken baby abuse and head trauma policy and signed acknowledgement prior to caring for children. Consultation was provided on the following: 1. When incidents occur, ensure that the incident report is filed in the child’s individual file. If a child seeks medical attention due to an incident, the completed incident report must be sent to the consultant within 7 days. 2. We discussed reaching out to the Partnership for Young Children for assistance with completing activity plans and how to implement the activities in the classroom. 3. We discussed staff reviewing the manufactures instructions on materials to determine if materials are age appropriate and developmentally appropriate. 4. We discussed ensuring that the proper permission to administer medication forms are completed. These forms can be found on the DCDEE website under provider forms and documents. 5. We discussed ensuring that new staffs medical information gets filed in your medical files that are separate from staffs personnel file. 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 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: 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

GS110-91 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility operates with a One-Star unrated license issued on February 8, 2024. The last sanitation inspection was completed on February 20, 2024, with a “Superior” classification. The last fire inspection was completed on August 1, 2023, 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 90 percent prior to today’s visit. The center's one-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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, outdoor time, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 7, 2024. Emergency drills are being conducted. The last emergency drill was completed on April 30, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one emergency medication and one medical action plan in the facility. 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 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 115b, an aerosol can of Lysol was stored in an unlocked cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/21/24 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's medical report was not completed by a physician. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report within 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain immunization records within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: 1. We discussed staff utilizing the staff file checklist to ensure that all documents are completed according to the timeframe listed on the checklist. Documents that are required to be updated annually should be updated on or before the date that is listed on the document. 2. We discussed staff checking children’s files quarterly to ensure that all documents are complete according to the timeframe listed on the checklist and in compliance. Each child is required to have a medical report and immunization records within 30 days of enrollment. 3. We discussed staff reviewing paperwork with families to ensure it is completely filled out and accurate. Medical reports should be completed by a physician. 4. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all hazardous products are properly stored. 5. We discussed utilizing the documentation of orientation form to ensure that new staff are receiving training on the required topics within the specified time frame. 6. We discussed ensuring that new staff have reviewed the shaken baby abuse and head trauma policy and signed acknowledgement prior to caring for children. Consultation was provided on the following: 1. When incidents occur, ensure that the incident report is filed in the child’s individual file. If a child seeks medical attention due to an incident, the completed incident report must be sent to the consultant within 7 days. 2. We discussed reaching out to the Partnership for Young Children for assistance with completing activity plans and how to implement the activities in the classroom. 3. We discussed staff reviewing the manufactures instructions on materials to determine if materials are age appropriate and developmentally appropriate. 4. We discussed ensuring that the proper permission to administer medication forms are completed. These forms can be found on the DCDEE website under provider forms and documents. 5. We discussed ensuring that new staffs medical information gets filed in your medical files that are separate from staffs personnel file. 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 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/10/2024 Number Present: 17 Completed Date: 5/10/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 10:30 AM Time Out: 01:50 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, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility operates with a One-Star unrated license issued on February 8, 2024. The last sanitation inspection was completed on February 20, 2024, with a “Superior” classification. The last fire inspection was completed on August 1, 2023, 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 90 percent prior to today’s visit. The center's one-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, 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, outdoor time, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 7, 2024. Emergency drills are being conducted. The last emergency drill was completed on April 30, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. I monitored one emergency medication and one medical action plan in the facility. 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 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 115b, an aerosol can of Lysol was stored in an unlocked cabinet. .2820(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 3/21/24 did not have a medical report on file for review. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 3/21/24 did not have documentation of receiving at least 16 hours of orientation within the first six weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 3/21/24 did not have documentation of completing six clock hours of training within the first two weeks of employment. .1101(a)(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One child's medical report was not completed by a physician. GS 110-91(1);.0302(d)(2); .0304(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child's file did not contain a medical report within 30 days of enrollment. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child's file did not contain immunization records within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 3/21/24 did not sign acknowledgement until 3/25/24. A staff member hired on 4/8/24 has not signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: 1. We discussed staff utilizing the staff file checklist to ensure that all documents are completed according to the timeframe listed on the checklist. Documents that are required to be updated annually should be updated on or before the date that is listed on the document. 2. We discussed staff checking children’s files quarterly to ensure that all documents are complete according to the timeframe listed on the checklist and in compliance. Each child is required to have a medical report and immunization records within 30 days of enrollment. 3. We discussed staff reviewing paperwork with families to ensure it is completely filled out and accurate. Medical reports should be completed by a physician. 4. We discussed staff conducting a walkthrough of their space prior to caring for children to ensure that all hazardous products are properly stored. 5. We discussed utilizing the documentation of orientation form to ensure that new staff are receiving training on the required topics within the specified time frame. 6. We discussed ensuring that new staff have reviewed the shaken baby abuse and head trauma policy and signed acknowledgement prior to caring for children. Consultation was provided on the following: 1. When incidents occur, ensure that the incident report is filed in the child’s individual file. If a child seeks medical attention due to an incident, the completed incident report must be sent to the consultant within 7 days. 2. We discussed reaching out to the Partnership for Young Children for assistance with completing activity plans and how to implement the activities in the classroom. 3. We discussed staff reviewing the manufactures instructions on materials to determine if materials are age appropriate and developmentally appropriate. 4. We discussed ensuring that the proper permission to administer medication forms are completed. These forms can be found on the DCDEE website under provider forms and documents. 5. We discussed ensuring that new staffs medical information gets filed in your medical files that are separate from staffs personnel file. 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 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0124-115L Visit Date: 1/26/2024 Number Present: 18 Completed Date: 1/26/2024 Age: From 0 To 5 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose for today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements. The allegation was as follows: There is a concern that a child was handled in a rough manner. You, Crystal Delatte, Lead Teacher, assisted me with today’s visit. This allegation was a self-report by the director of the program. Upon arrival I shared the purpose of my visit. I observed staff interacting with children in a positive manner, infants receiving care according to their developmental needs, morning snack, children engaged in free choice activities, lunch, and rest time. Regarding the allegation that a child was handled in a rough manner: I observed video from January 4, 2024. I observed four children sitting at a table eating, one child sitting on a cot, and two children sleeping on cots. I observed the second staff member in the room putting away cots and then step into the restroom. In the video, I observed a staff member appear to be putting a bag on a shelf. At the 1:10 time stamp, I observed the staff member place their hand on top of a child’s head that was sitting on a cot and pushed the child’s head to make them lay down. I heard the staff member say “lay down” to the child and the child began to cry. I heard the staff member say to the child “how many times am I going to have to tell you before you listen. Everybody else has laid their head down and rested, you have not”, the child continued to cry. I spoke with staff members during today’s visit. A staff member stated that they observed the staff member was becoming more agitated with children and reported it to the director. Staff stated that a meeting was held on January 12, 2024, to review concerns, staff handbook, DCDEE rules, confidentiality, reporting, and training opportunities. Staff provided me with a copy of the agenda for the meeting during today’s visit. Staff stated that since the incident, children’s cots have been rearranged and children have at least three different activities to choose from when they do not want to rest. I contacted Jill Wingler, Director, she stated that she held a meeting with staff and also provided me with a copy of the agenda, she stated that the staff member was terminated, and that staff reviewed the discipline policy and signed a copy of acknowledgment. Based on information provided from interviewed staff and video observations, the allegations regarding concerns about a child was handled in a rough manner was substantiated. Based on the information given, there were eighteen children ages infant to five years old present during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 904 Child was handled roughly. On January 4, 2024, a child was handled roughly as observed on video footage. .1803(a)(1) 907 Discipline was related to food, rest or toileting. On January 4, 2024, a child did not receive snack due to not resting during rest time. .1803(a)(4-6) During today’s visit, I provided Technical Assistance on the following: 1) We discussed that children who do not nap should be allowed a quiet activity to engage in while others are napping. 2) We discussed reaching out to the Healthy Social Behavior specialist, NaTasha Peterson, for training to assist staff. 3) We discussed that children should not be disciplined related to food, rest, and toileting. 4) We discussed reviewing the programs discipline policy to ensure that all staff are aware of the expectations. 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 February 9, 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 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

10A NCAC 09 .0803 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 15 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The facility’s compliance history was 88 percent as of December 5, 2023. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. In space 115B, I observed one child had not been signed in for the day. You signed the child in during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed no new staff members had been hired since your second temporary time period visit completed on October 26, 2023. I observed 4 volunteers in the facility today. All volunteers had required documentation on file, available for review. I observed the most recent outdoor inspection was completed on November 3, 2023. I observed the most recent fire drill was conducted on November 27, 2023, at 10:05am with one minute and fifteen seconds to evacuate. Please ensure that your facility is practicing quarterly lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. I observed and monitored 7 topical ointments in the facility. I observed 3 children’s topical ointment permission forms to be incomplete with the expiration date, valid dates, and/or the amount. This was filled in by you during today’s visit. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 115B, 3 children's permission to administer topical ointment form was missing required information such as permission valid dates, amount, and ointment expiration date. A staff member completed these items during today's visit. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance. In space 115B, one child had not been signed in for today. The child was signed in by a staff member during today's visit. GS 110-91(9) During today’s visit, Technical Assistance was provided on the following: 1. We discussed when accepting children’s medications or topical ointments to review the permission form with parents to ensure that each item on the permission form is completed. Encourage parents to send only one container of the same ointment or have the parent to complete multiple permission forms. 2. We discussed that staff should check their sign in/out sheets periodically and after the cutoff time to ensure that all children have been signed in and out for the day. 3. We discussed that children enrolled in specific classrooms are not able to be in the classroom that is divided by furniture. 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. Due to the violations being corrected during today’s visit, a compliance letter is not due at this time. 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 15 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The facility’s compliance history was 88 percent as of December 5, 2023. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. In space 115B, I observed one child had not been signed in for the day. You signed the child in during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed no new staff members had been hired since your second temporary time period visit completed on October 26, 2023. I observed 4 volunteers in the facility today. All volunteers had required documentation on file, available for review. I observed the most recent outdoor inspection was completed on November 3, 2023. I observed the most recent fire drill was conducted on November 27, 2023, at 10:05am with one minute and fifteen seconds to evacuate. Please ensure that your facility is practicing quarterly lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. I observed and monitored 7 topical ointments in the facility. I observed 3 children’s topical ointment permission forms to be incomplete with the expiration date, valid dates, and/or the amount. This was filled in by you during today’s visit. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 115B, 3 children's permission to administer topical ointment form was missing required information such as permission valid dates, amount, and ointment expiration date. A staff member completed these items during today's visit. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance. In space 115B, one child had not been signed in for today. The child was signed in by a staff member during today's visit. GS 110-91(9) During today’s visit, Technical Assistance was provided on the following: 1. We discussed when accepting children’s medications or topical ointments to review the permission form with parents to ensure that each item on the permission form is completed. Encourage parents to send only one container of the same ointment or have the parent to complete multiple permission forms. 2. We discussed that staff should check their sign in/out sheets periodically and after the cutoff time to ensure that all children have been signed in and out for the day. 3. We discussed that children enrolled in specific classrooms are not able to be in the classroom that is divided by furniture. 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. Due to the violations being corrected during today’s visit, a compliance letter is not due at this time. 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 15 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with today’s visit. The facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The facility’s compliance history was 88 percent as of December 5, 2023. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. In space 115B, I observed one child had not been signed in for the day. You signed the child in during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed no new staff members had been hired since your second temporary time period visit completed on October 26, 2023. I observed 4 volunteers in the facility today. All volunteers had required documentation on file, available for review. I observed the most recent outdoor inspection was completed on November 3, 2023. I observed the most recent fire drill was conducted on November 27, 2023, at 10:05am with one minute and fifteen seconds to evacuate. Please ensure that your facility is practicing quarterly lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. I observed and monitored 7 topical ointments in the facility. I observed 3 children’s topical ointment permission forms to be incomplete with the expiration date, valid dates, and/or the amount. This was filled in by you during today’s visit. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 115B, 3 children's permission to administer topical ointment form was missing required information such as permission valid dates, amount, and ointment expiration date. A staff member completed these items during today's visit. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance. In space 115B, one child had not been signed in for today. The child was signed in by a staff member during today's visit. GS 110-91(9) During today’s visit, Technical Assistance was provided on the following: 1. We discussed when accepting children’s medications or topical ointments to review the permission form with parents to ensure that each item on the permission form is completed. Encourage parents to send only one container of the same ointment or have the parent to complete multiple permission forms. 2. We discussed that staff should check their sign in/out sheets periodically and after the cutoff time to ensure that all children have been signed in and out for the day. 3. We discussed that children enrolled in specific classrooms are not able to be in the classroom that is divided by furniture. 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. Due to the violations being corrected during today’s visit, a compliance letter is not due at this time. 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 .0514 · Violation

Name of Operation: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 17 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with the visit. Your facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. I observed attendance records to be current as required. I observed your Temporary 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 dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed two new staff members had been hired since your first temporary time period visit completed on September 19, 2023. Two staff members hired on 10/24, 2023, did not have a Criminal Background Check qualification letter on file for review. The regulatory system was reviewed to verify if the staff member has a current CBC qualification letter through DCDEE. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. I monitored a selection of six children's files and two staff members files during today's visit. I observed and monitored 6 topical ointments in the facility. I observed 2 children’s topical ointments did not have permission to administer a topical ointment on file for review. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space B15(b), two children's topical ointment did not have permission to administer topical ointment forms on file. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. A staff member hired on 6/1/23 did not have an application for employment on file. .0302(d)(1)(A) 1043 All staff records, except financial records, were not made available for review. Two staff member's hired on 10/24/23, did not have personnel files available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 6/1/23 did not have documentation of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 6/1/23 did not have documentation of completing orientation on required topic areas within the first two weeks. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A staff member hired on 6/1/23 did not have documentation of receiving the personnel and operational policies. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff member's hired on 10/24/23, did not have a criminal background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Three children's applications did not have the health care concerns section completed. .0801 (a)(5) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All staff member's medical information was stored in their personnel file. .0701(d) During today’s visit, Technical Assistance was provided on the following: 1. We discussed that when accepting children’s applications, ensure that all questions are answered in the appropriate manner. If the question does not apply to the child, please indicate N/A. 2. We discussed that children’s medical exams are due within 30 days of enrollment. A physician should complete the bottom portion of the medical exam. 3. We discussed creating one documentation sheet that lists the items that parents are given in the enrollment packet. This should include the NC Summary of the Child Care Law, the operational policies, the discipline policy, the smoking and tobacco restriction, and the Prevention of Shaken Baby and Abusive Head Trauma policy. Make sure that each child’s file has this documentation of receipt signed and dated by the parent, and that it includes the date of the child’s enrollment. 4. We discussed that employees of the ESS agency are required to have a staff file with all applicable documents on site at the facility. Please utilize the staff file checklist to ensure that all applicable documents are available for review. 5. We discussed that when parents bring in topical ointments, a permission to administer topical ointments should be completed and kept on file for review. 6. We discussed that staffs’ medical information should be stored separately. This is to ensure the privacy of staffs’ medical information. A suggestion would be to create a file folder for each individual staff member, place their medical information inside this folder, and lock this folder in a file cabinet or storage cabinet. This information should not be stored with the staff member’s personnel file. 7. We discussed that staff should receive the applicable orientation within the first two weeks and six weeks of employment. This should be documented on the staff orientation checklist that can be found of the DCDEE website. 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 November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 Lead Consultant, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 17 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with the visit. Your facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. I observed attendance records to be current as required. I observed your Temporary 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 dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed two new staff members had been hired since your first temporary time period visit completed on September 19, 2023. Two staff members hired on 10/24, 2023, did not have a Criminal Background Check qualification letter on file for review. The regulatory system was reviewed to verify if the staff member has a current CBC qualification letter through DCDEE. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. I monitored a selection of six children's files and two staff members files during today's visit. I observed and monitored 6 topical ointments in the facility. I observed 2 children’s topical ointments did not have permission to administer a topical ointment on file for review. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space B15(b), two children's topical ointment did not have permission to administer topical ointment forms on file. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. A staff member hired on 6/1/23 did not have an application for employment on file. .0302(d)(1)(A) 1043 All staff records, except financial records, were not made available for review. Two staff member's hired on 10/24/23, did not have personnel files available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 6/1/23 did not have documentation of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 6/1/23 did not have documentation of completing orientation on required topic areas within the first two weeks. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A staff member hired on 6/1/23 did not have documentation of receiving the personnel and operational policies. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff member's hired on 10/24/23, did not have a criminal background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Three children's applications did not have the health care concerns section completed. .0801 (a)(5) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All staff member's medical information was stored in their personnel file. .0701(d) During today’s visit, Technical Assistance was provided on the following: 1. We discussed that when accepting children’s applications, ensure that all questions are answered in the appropriate manner. If the question does not apply to the child, please indicate N/A. 2. We discussed that children’s medical exams are due within 30 days of enrollment. A physician should complete the bottom portion of the medical exam. 3. We discussed creating one documentation sheet that lists the items that parents are given in the enrollment packet. This should include the NC Summary of the Child Care Law, the operational policies, the discipline policy, the smoking and tobacco restriction, and the Prevention of Shaken Baby and Abusive Head Trauma policy. Make sure that each child’s file has this documentation of receipt signed and dated by the parent, and that it includes the date of the child’s enrollment. 4. We discussed that employees of the ESS agency are required to have a staff file with all applicable documents on site at the facility. Please utilize the staff file checklist to ensure that all applicable documents are available for review. 5. We discussed that when parents bring in topical ointments, a permission to administer topical ointments should be completed and kept on file for review. 6. We discussed that staffs’ medical information should be stored separately. This is to ensure the privacy of staffs’ medical information. A suggestion would be to create a file folder for each individual staff member, place their medical information inside this folder, and lock this folder in a file cabinet or storage cabinet. This information should not be stored with the staff member’s personnel file. 7. We discussed that staff should receive the applicable orientation within the first two weeks and six weeks of employment. This should be documented on the staff orientation checklist that can be found of the DCDEE website. 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 November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 Lead Consultant, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 17 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with the visit. Your facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. I observed attendance records to be current as required. I observed your Temporary 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 dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed two new staff members had been hired since your first temporary time period visit completed on September 19, 2023. Two staff members hired on 10/24, 2023, did not have a Criminal Background Check qualification letter on file for review. The regulatory system was reviewed to verify if the staff member has a current CBC qualification letter through DCDEE. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. I monitored a selection of six children's files and two staff members files during today's visit. I observed and monitored 6 topical ointments in the facility. I observed 2 children’s topical ointments did not have permission to administer a topical ointment on file for review. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space B15(b), two children's topical ointment did not have permission to administer topical ointment forms on file. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. A staff member hired on 6/1/23 did not have an application for employment on file. .0302(d)(1)(A) 1043 All staff records, except financial records, were not made available for review. Two staff member's hired on 10/24/23, did not have personnel files available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 6/1/23 did not have documentation of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 6/1/23 did not have documentation of completing orientation on required topic areas within the first two weeks. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A staff member hired on 6/1/23 did not have documentation of receiving the personnel and operational policies. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff member's hired on 10/24/23, did not have a criminal background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Three children's applications did not have the health care concerns section completed. .0801 (a)(5) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All staff member's medical information was stored in their personnel file. .0701(d) During today’s visit, Technical Assistance was provided on the following: 1. We discussed that when accepting children’s applications, ensure that all questions are answered in the appropriate manner. If the question does not apply to the child, please indicate N/A. 2. We discussed that children’s medical exams are due within 30 days of enrollment. A physician should complete the bottom portion of the medical exam. 3. We discussed creating one documentation sheet that lists the items that parents are given in the enrollment packet. This should include the NC Summary of the Child Care Law, the operational policies, the discipline policy, the smoking and tobacco restriction, and the Prevention of Shaken Baby and Abusive Head Trauma policy. Make sure that each child’s file has this documentation of receipt signed and dated by the parent, and that it includes the date of the child’s enrollment. 4. We discussed that employees of the ESS agency are required to have a staff file with all applicable documents on site at the facility. Please utilize the staff file checklist to ensure that all applicable documents are available for review. 5. We discussed that when parents bring in topical ointments, a permission to administer topical ointments should be completed and kept on file for review. 6. We discussed that staffs’ medical information should be stored separately. This is to ensure the privacy of staffs’ medical information. A suggestion would be to create a file folder for each individual staff member, place their medical information inside this folder, and lock this folder in a file cabinet or storage cabinet. This information should not be stored with the staff member’s personnel file. 7. We discussed that staff should receive the applicable orientation within the first two weeks and six weeks of employment. This should be documented on the staff orientation checklist that can be found of the DCDEE website. 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 November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 Lead Consultant, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 17 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with the visit. Your facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. I observed attendance records to be current as required. I observed your Temporary 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 dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed two new staff members had been hired since your first temporary time period visit completed on September 19, 2023. Two staff members hired on 10/24, 2023, did not have a Criminal Background Check qualification letter on file for review. The regulatory system was reviewed to verify if the staff member has a current CBC qualification letter through DCDEE. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. I monitored a selection of six children's files and two staff members files during today's visit. I observed and monitored 6 topical ointments in the facility. I observed 2 children’s topical ointments did not have permission to administer a topical ointment on file for review. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space B15(b), two children's topical ointment did not have permission to administer topical ointment forms on file. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. A staff member hired on 6/1/23 did not have an application for employment on file. .0302(d)(1)(A) 1043 All staff records, except financial records, were not made available for review. Two staff member's hired on 10/24/23, did not have personnel files available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 6/1/23 did not have documentation of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 6/1/23 did not have documentation of completing orientation on required topic areas within the first two weeks. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A staff member hired on 6/1/23 did not have documentation of receiving the personnel and operational policies. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff member's hired on 10/24/23, did not have a criminal background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Three children's applications did not have the health care concerns section completed. .0801 (a)(5) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All staff member's medical information was stored in their personnel file. .0701(d) During today’s visit, Technical Assistance was provided on the following: 1. We discussed that when accepting children’s applications, ensure that all questions are answered in the appropriate manner. If the question does not apply to the child, please indicate N/A. 2. We discussed that children’s medical exams are due within 30 days of enrollment. A physician should complete the bottom portion of the medical exam. 3. We discussed creating one documentation sheet that lists the items that parents are given in the enrollment packet. This should include the NC Summary of the Child Care Law, the operational policies, the discipline policy, the smoking and tobacco restriction, and the Prevention of Shaken Baby and Abusive Head Trauma policy. Make sure that each child’s file has this documentation of receipt signed and dated by the parent, and that it includes the date of the child’s enrollment. 4. We discussed that employees of the ESS agency are required to have a staff file with all applicable documents on site at the facility. Please utilize the staff file checklist to ensure that all applicable documents are available for review. 5. We discussed that when parents bring in topical ointments, a permission to administer topical ointments should be completed and kept on file for review. 6. We discussed that staffs’ medical information should be stored separately. This is to ensure the privacy of staffs’ medical information. A suggestion would be to create a file folder for each individual staff member, place their medical information inside this folder, and lock this folder in a file cabinet or storage cabinet. This information should not be stored with the staff member’s personnel file. 7. We discussed that staff should receive the applicable orientation within the first two weeks and six weeks of employment. This should be documented on the staff orientation checklist that can be found of the DCDEE website. 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 November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 Lead Consultant, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 17 Completed Date: 10/26/2023 Age: From 0 To 4 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the second temporary time period visit. You, Crystal Delatte, Lead Teacher, assisted me with the visit. Your facility currently operates with a temporary license issued on August 7, 2023, and expires on February 7, 2024, with the following restrictions: Daytime care only and children under 2 ½ years old in rooms with direct exits only. The last sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed sign-in and out sheets in the classroom. I observed attendance records to be current as required. I observed your Temporary 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 dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, small group activities, teacher directed activities, lunch, and rest time. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed two new staff members had been hired since your first temporary time period visit completed on September 19, 2023. Two staff members hired on 10/24, 2023, did not have a Criminal Background Check qualification letter on file for review. The regulatory system was reviewed to verify if the staff member has a current CBC qualification letter through DCDEE. The violation must be corrected within two weeks and a copy of the qualification letter be mailed to the consultant with the required compliance letter. I monitored a selection of six children's files and two staff members files during today's visit. I observed and monitored 6 topical ointments in the facility. I observed 2 children’s topical ointments did not have permission to administer a topical ointment on file for review. On 10/12/23, Jill Wingler, Director of the ISS Staff Childcare programs, requested to earn a one-star unrated license at the end of the temporary license. If the facility has a compliance history score of 75% or higher at the end of the temporary license, a one-star unrated license will be processed as requested. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space B15(b), two children's topical ointment did not have permission to administer topical ointment forms on file. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. A staff member hired on 6/1/23 did not have an application for employment on file. .0302(d)(1)(A) 1043 All staff records, except financial records, were not made available for review. Two staff member's hired on 10/24/23, did not have personnel files available for review. G.S. 110-91( 9) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on 6/1/23 did not have documentation of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A staff member hired on 6/1/23 did not have documentation of completing orientation on required topic areas within the first two weeks. .1101(a)(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. A staff member hired on 6/1/23 did not have documentation of receiving the personnel and operational policies. 10A NCAC 09 .0514(g) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff member's hired on 10/24/23, did not have a criminal background qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1832 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Three children's applications did not have the health care concerns section completed. .0801 (a)(5) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. All staff member's medical information was stored in their personnel file. .0701(d) During today’s visit, Technical Assistance was provided on the following: 1. We discussed that when accepting children’s applications, ensure that all questions are answered in the appropriate manner. If the question does not apply to the child, please indicate N/A. 2. We discussed that children’s medical exams are due within 30 days of enrollment. A physician should complete the bottom portion of the medical exam. 3. We discussed creating one documentation sheet that lists the items that parents are given in the enrollment packet. This should include the NC Summary of the Child Care Law, the operational policies, the discipline policy, the smoking and tobacco restriction, and the Prevention of Shaken Baby and Abusive Head Trauma policy. Make sure that each child’s file has this documentation of receipt signed and dated by the parent, and that it includes the date of the child’s enrollment. 4. We discussed that employees of the ESS agency are required to have a staff file with all applicable documents on site at the facility. Please utilize the staff file checklist to ensure that all applicable documents are available for review. 5. We discussed that when parents bring in topical ointments, a permission to administer topical ointments should be completed and kept on file for review. 6. We discussed that staffs’ medical information should be stored separately. This is to ensure the privacy of staffs’ medical information. A suggestion would be to create a file folder for each individual staff member, place their medical information inside this folder, and lock this folder in a file cabinet or storage cabinet. This information should not be stored with the staff member’s personnel file. 7. We discussed that staff should receive the applicable orientation within the first two weeks and six weeks of employment. This should be documented on the staff orientation checklist that can be found of the DCDEE website. 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 November 9, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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 Lead Consultant, 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 20 Completed Date: 9/19/2023 Age: From 0 To 4 Total Minutes: -488 Time In: 08:38 AM Time Out: 12:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Rebecca Hayes, Child Care Consultant, accompanied me on today's visit. Crystal Delatte, Lead Teacher, assisted with today's visit. Currently this center operates with a temporary license issued on August 7, 2023 with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the facility was completed. Space 1A was observed participating in free choice play outdoors. Space 1B was observed participating in free choice play inside, sleeping, and infants were being fed a bottle while being held. Space 2 was observed participating in a teacher directed art activity and circle time as well as transitioning outdoors for free choice play. During today’s visit, the staff and children in space 2 were going to walk through spaces 1A and 1B to get to their outdoor environment. The staff member stated that they were told by the NC PreK staff that they could not walk through their fenced-in playground area at the end of the hallway and building to get to their designated playground area around the other side of the building. I explained that walking through an infant and toddler room to get outside is not safe, and that they must use that exit to get to their outdoor learning environment. I explained this new plan to all of the NC PreK teachers as well as the ISS Staff Childcare teachers. I reiterated that spaces 1A and space 2 would walk down to the end of the hallway and down the sidewalk inside of the NC PreK playground to get around the building to their designated outdoor play area. I reminded the childcare staff to ensure that the gate is shut behind them and to account for their children after they walk through the gate and before walking around the other side of the building. There were three volunteers working in space 2 today. They were observed interacting with children in a positive way, completing teacher directed activities with them, and assisting with transitioning them to the outdoor environment. Please remember that the volunteers cannot count in staff/child ratio or be left alone with children. The volunteers were always with a staff member during today's visit. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. Supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage were monitored. There was no monthly fire drill documented on the Emergency Drill Log form. One staff member at this facility has completed playground safety training. There were no playground inspections completed monthly. You must also check the outdoor environment daily for debris, vandalism, and broken equipment according to Child Care Rule .0604(p). One staff member at the facility has one year to complete Emergency Preparedness and Response training (EPR). The staff member who takes the training has four months from the training date to complete the online EPR plan. After the training is completed, the facility must begin completing lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. The sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023. Three staff files were monitored. Six children’s files were monitored. The children bring all of their food from home. All of the children have a nutrition opt out form, therefore the facility is not required to supplement the food sent from home. On 8/30/23, I discussed the rated license process with Jill Wingler, Assistant Director. I reviewed how the facility will earn points towards a star rated license at the end of your temporary license that expires on February 7, 2024. Program Standards- You can choose to earn two points in program standards if you choose not to request the Environmental Rating Scale(ERS). If you choose to request the ERS, the program points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-If you choose to request a 2-5 star rated license, the education points will be determined by the education found for each staff member in WORKS for your Administrator and all classroom staff. All staff must have their current education in WORKS. Quality Point-If you choose to request a 2-5 star rated license, you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list. This quality point option must be verified and approved before one point can be earned. If you request a 2-5 star rated license, please send me the completed Application for a Two Component Star Rated license form by 10/2/23. If you request to have the ERS completed, please send me the completed Rated License Request Review form by 10/2/23. I reminded you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed 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. Space 1A did not document that one child who was present had arrived to the facility today. Space 2 did not document that one child who was present had arrived to the facility today. 10A NCAC 09 .0302(d)(4) 533 Breast 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 1A one child's water cup sent from home was not dated. 15A NCAC 18A .2804(d) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 1A, one child's juice bottle was not refrigerated when not in use. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. In space 1A, two bottles and two water cups had nipples that were not covered to protect them from contamination. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There were no fire drills documented monthly as required. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no monthly playground inspections completed monthly as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three volunteers did not have an emergency information form completed and on file. .0701(a) 1302 Individual applications were not on file for each child. One child's file did not have an application completed. 10A NCAC 09 .0801(a) 1329 Application for enrollment did not include all required information. Two children's applications did not have the health care needs portion completed. .0801(a)(1-7) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was given in the following areas: Item#125-As children arrive and depart they should be signed in and out on a sign-up sheet. If the parent forgets to sign them in, it is the responsibility of the staff member to do so. This document should be taken with the staff members when they transition to the outdoor environment, and when they practice emergency drills. Item#533, #536, and #538-Bottles and cups sent from home must be covered to prevent contamination, labeled with the child’s name and date, and refrigerated if they have juice or milk in them. Item#805 and #859-Create a reminder on your calendar to complete the fire drills and playground inspections monthly. The fire drills should be documented on Emergency Drill Log form, and the playground inspections should be completed on the playground inspection form. Both forms can be found on DCDEE’s website under Provider Documents and Forms. Item#1302 and #1329-Ensure that the child’s application is on file the first day of attendance in the program. When you receive the children’s application, review them for accuracy and completion. There should be no blanks on the application form. Item#1035 and #1958-Volunteers must have the required paperwork on file before working with children. The File checklist for Volunteers can be found on DCDEE's website under Provider Documents and Forms. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 10/3/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. Feel free to contact me with questions at erin.pickard@dhhs.nc.gov or 704-594-0153. 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 20 Completed Date: 9/19/2023 Age: From 0 To 4 Total Minutes: -488 Time In: 08:38 AM Time Out: 12:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Rebecca Hayes, Child Care Consultant, accompanied me on today's visit. Crystal Delatte, Lead Teacher, assisted with today's visit. Currently this center operates with a temporary license issued on August 7, 2023 with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the facility was completed. Space 1A was observed participating in free choice play outdoors. Space 1B was observed participating in free choice play inside, sleeping, and infants were being fed a bottle while being held. Space 2 was observed participating in a teacher directed art activity and circle time as well as transitioning outdoors for free choice play. During today’s visit, the staff and children in space 2 were going to walk through spaces 1A and 1B to get to their outdoor environment. The staff member stated that they were told by the NC PreK staff that they could not walk through their fenced-in playground area at the end of the hallway and building to get to their designated playground area around the other side of the building. I explained that walking through an infant and toddler room to get outside is not safe, and that they must use that exit to get to their outdoor learning environment. I explained this new plan to all of the NC PreK teachers as well as the ISS Staff Childcare teachers. I reiterated that spaces 1A and space 2 would walk down to the end of the hallway and down the sidewalk inside of the NC PreK playground to get around the building to their designated outdoor play area. I reminded the childcare staff to ensure that the gate is shut behind them and to account for their children after they walk through the gate and before walking around the other side of the building. There were three volunteers working in space 2 today. They were observed interacting with children in a positive way, completing teacher directed activities with them, and assisting with transitioning them to the outdoor environment. Please remember that the volunteers cannot count in staff/child ratio or be left alone with children. The volunteers were always with a staff member during today's visit. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. Supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage were monitored. There was no monthly fire drill documented on the Emergency Drill Log form. One staff member at this facility has completed playground safety training. There were no playground inspections completed monthly. You must also check the outdoor environment daily for debris, vandalism, and broken equipment according to Child Care Rule .0604(p). One staff member at the facility has one year to complete Emergency Preparedness and Response training (EPR). The staff member who takes the training has four months from the training date to complete the online EPR plan. After the training is completed, the facility must begin completing lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. The sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023. Three staff files were monitored. Six children’s files were monitored. The children bring all of their food from home. All of the children have a nutrition opt out form, therefore the facility is not required to supplement the food sent from home. On 8/30/23, I discussed the rated license process with Jill Wingler, Assistant Director. I reviewed how the facility will earn points towards a star rated license at the end of your temporary license that expires on February 7, 2024. Program Standards- You can choose to earn two points in program standards if you choose not to request the Environmental Rating Scale(ERS). If you choose to request the ERS, the program points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-If you choose to request a 2-5 star rated license, the education points will be determined by the education found for each staff member in WORKS for your Administrator and all classroom staff. All staff must have their current education in WORKS. Quality Point-If you choose to request a 2-5 star rated license, you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list. This quality point option must be verified and approved before one point can be earned. If you request a 2-5 star rated license, please send me the completed Application for a Two Component Star Rated license form by 10/2/23. If you request to have the ERS completed, please send me the completed Rated License Request Review form by 10/2/23. I reminded you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed 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. Space 1A did not document that one child who was present had arrived to the facility today. Space 2 did not document that one child who was present had arrived to the facility today. 10A NCAC 09 .0302(d)(4) 533 Breast 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 1A one child's water cup sent from home was not dated. 15A NCAC 18A .2804(d) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 1A, one child's juice bottle was not refrigerated when not in use. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. In space 1A, two bottles and two water cups had nipples that were not covered to protect them from contamination. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There were no fire drills documented monthly as required. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no monthly playground inspections completed monthly as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three volunteers did not have an emergency information form completed and on file. .0701(a) 1302 Individual applications were not on file for each child. One child's file did not have an application completed. 10A NCAC 09 .0801(a) 1329 Application for enrollment did not include all required information. Two children's applications did not have the health care needs portion completed. .0801(a)(1-7) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was given in the following areas: Item#125-As children arrive and depart they should be signed in and out on a sign-up sheet. If the parent forgets to sign them in, it is the responsibility of the staff member to do so. This document should be taken with the staff members when they transition to the outdoor environment, and when they practice emergency drills. Item#533, #536, and #538-Bottles and cups sent from home must be covered to prevent contamination, labeled with the child’s name and date, and refrigerated if they have juice or milk in them. Item#805 and #859-Create a reminder on your calendar to complete the fire drills and playground inspections monthly. The fire drills should be documented on Emergency Drill Log form, and the playground inspections should be completed on the playground inspection form. Both forms can be found on DCDEE’s website under Provider Documents and Forms. Item#1302 and #1329-Ensure that the child’s application is on file the first day of attendance in the program. When you receive the children’s application, review them for accuracy and completion. There should be no blanks on the application form. Item#1035 and #1958-Volunteers must have the required paperwork on file before working with children. The File checklist for Volunteers can be found on DCDEE's website under Provider Documents and Forms. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 10/3/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. Feel free to contact me with questions at erin.pickard@dhhs.nc.gov or 704-594-0153. 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: Celeste Henkel - ISS Staff Childcare Facility ID: 49000582 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 20 Completed Date: 9/19/2023 Age: From 0 To 4 Total Minutes: -488 Time In: 08:38 AM Time Out: 12:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Rebecca Hayes, Child Care Consultant, accompanied me on today's visit. Crystal Delatte, Lead Teacher, assisted with today's visit. Currently this center operates with a temporary license issued on August 7, 2023 with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the facility was completed. Space 1A was observed participating in free choice play outdoors. Space 1B was observed participating in free choice play inside, sleeping, and infants were being fed a bottle while being held. Space 2 was observed participating in a teacher directed art activity and circle time as well as transitioning outdoors for free choice play. During today’s visit, the staff and children in space 2 were going to walk through spaces 1A and 1B to get to their outdoor environment. The staff member stated that they were told by the NC PreK staff that they could not walk through their fenced-in playground area at the end of the hallway and building to get to their designated playground area around the other side of the building. I explained that walking through an infant and toddler room to get outside is not safe, and that they must use that exit to get to their outdoor learning environment. I explained this new plan to all of the NC PreK teachers as well as the ISS Staff Childcare teachers. I reiterated that spaces 1A and space 2 would walk down to the end of the hallway and down the sidewalk inside of the NC PreK playground to get around the building to their designated outdoor play area. I reminded the childcare staff to ensure that the gate is shut behind them and to account for their children after they walk through the gate and before walking around the other side of the building. There were three volunteers working in space 2 today. They were observed interacting with children in a positive way, completing teacher directed activities with them, and assisting with transitioning them to the outdoor environment. Please remember that the volunteers cannot count in staff/child ratio or be left alone with children. The volunteers were always with a staff member during today's visit. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. Supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage were monitored. There was no monthly fire drill documented on the Emergency Drill Log form. One staff member at this facility has completed playground safety training. There were no playground inspections completed monthly. You must also check the outdoor environment daily for debris, vandalism, and broken equipment according to Child Care Rule .0604(p). One staff member at the facility has one year to complete Emergency Preparedness and Response training (EPR). The staff member who takes the training has four months from the training date to complete the online EPR plan. After the training is completed, the facility must begin completing lock-down and shelter-in-place drills and document them on the bottom of the Emergency Drill Log. The sanitation inspection was completed on September 11, 2023, and you received a superior rating and fifteen demerits. The last fire inspection was completed on August 1, 2023. Three staff files were monitored. Six children’s files were monitored. The children bring all of their food from home. All of the children have a nutrition opt out form, therefore the facility is not required to supplement the food sent from home. On 8/30/23, I discussed the rated license process with Jill Wingler, Assistant Director. I reviewed how the facility will earn points towards a star rated license at the end of your temporary license that expires on February 7, 2024. Program Standards- You can choose to earn two points in program standards if you choose not to request the Environmental Rating Scale(ERS). If you choose to request the ERS, the program points earned will be determined by your score earned on the environmental rating scales as well as enhanced ratios and space. Education Standards-If you choose to request a 2-5 star rated license, the education points will be determined by the education found for each staff member in WORKS for your Administrator and all classroom staff. All staff must have their current education in WORKS. Quality Point-If you choose to request a 2-5 star rated license, you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options list. This quality point option must be verified and approved before one point can be earned. If you request a 2-5 star rated license, please send me the completed Application for a Two Component Star Rated license form by 10/2/23. If you request to have the ERS completed, please send me the completed Rated License Request Review form by 10/2/23. I reminded you that programs with less than a three-star license will not be eligible to receive subsidy funding. The following violations were observed 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. Space 1A did not document that one child who was present had arrived to the facility today. Space 2 did not document that one child who was present had arrived to the facility today. 10A NCAC 09 .0302(d)(4) 533 Breast 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 1A one child's water cup sent from home was not dated. 15A NCAC 18A .2804(d) 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space 1A, one child's juice bottle was not refrigerated when not in use. 15A NCAC 18A .2804(d) 538 Baby bottles were not stored to protect from contamination. In space 1A, two bottles and two water cups had nipples that were not covered to protect them from contamination. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. There were no fire drills documented monthly as required. .0604(t); .0302(d)(5) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There were no monthly playground inspections completed monthly as required. .0605(q) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three volunteers did not have an emergency information form completed and on file. .0701(a) 1302 Individual applications were not on file for each child. One child's file did not have an application completed. 10A NCAC 09 .0801(a) 1329 Application for enrollment did not include all required information. Two children's applications did not have the health care needs portion completed. .0801(a)(1-7) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. One volunteer did not have a health questionnaire on file. 10A NCAC 09 .0701(a) Technical assistance was given in the following areas: Item#125-As children arrive and depart they should be signed in and out on a sign-up sheet. If the parent forgets to sign them in, it is the responsibility of the staff member to do so. This document should be taken with the staff members when they transition to the outdoor environment, and when they practice emergency drills. Item#533, #536, and #538-Bottles and cups sent from home must be covered to prevent contamination, labeled with the child’s name and date, and refrigerated if they have juice or milk in them. Item#805 and #859-Create a reminder on your calendar to complete the fire drills and playground inspections monthly. The fire drills should be documented on Emergency Drill Log form, and the playground inspections should be completed on the playground inspection form. Both forms can be found on DCDEE’s website under Provider Documents and Forms. Item#1302 and #1329-Ensure that the child’s application is on file the first day of attendance in the program. When you receive the children’s application, review them for accuracy and completion. There should be no blanks on the application form. Item#1035 and #1958-Volunteers must have the required paperwork on file before working with children. The File checklist for Volunteers can be found on DCDEE's website under Provider Documents and Forms. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 10/3/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/enus/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. Feel free to contact me with questions at erin.pickard@dhhs.nc.gov or 704-594-0153. 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