Cloverleaf Elementary Preschool

10A NCAC 09 .0304 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/20/2026 Number Present: 3 Completed Date: 1/20/2026 Age: From 3 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Taneisha Collins , Lead Teacher, assisted me with today’s visit. Erin Pickard, Licensing Supervisor, accompanied me during today's visit. I conducted your last annual compliance visit on February 25, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with Iredell-Statesville School System, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 90% as of January 16, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issued on January 11, 2016, earning 7 points in staff education, 7 points in program standards, and one (1) quality point. Your last sanitation inspection was dated October 27, 2025 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and outdoor space. I observed children participating in teacher-directed small group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a mini refrigerator in the classroom and water bottles brought from home stored in the refrigerator. I observed that food and beverages brought from home was not labeled with the name of the child and today’s date. I observed that doughnuts were on the teacher’s desk and not stored away from children. I observed that today’s lunch from the cafeteria consisted of cheese pizza, smiley face potato wedges, sliced oranges, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that bleach sanitizers were not stored five feet and was stored on top of the mini refrigerator. I observed that hand sanitizer, and sanitizer wipes that had multiple warnings were stored on top of the teacher desk and not locked in a locked cabinet. I monitored program records, child record files, and staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I was unable to observe staff members met the education requirements for DD staff because I could not get into the WORKS account during my visit. I will monitor staff education when I return to my office. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of one staff members and three children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:00am to 2:00pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2025 – 2026 school year. I observed that 3 children leave on certain days early to attend other student services that are described on their IEP’s. I monitored licensed capacity, supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 5/17/2024. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was being used during today's visit and was not being recorded on an activity plan or screen time log. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Sippy cup for one child located in the classroom refrigerator did not have name of child or today's date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls at the front of the classroom have chipping and peeling paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two hand sanitizers and sanitizer wipes that have multiple warnings were stored on top of the teacher desk. Clorox wipes were stored on an open shelf, not locked. Bleach bottles were not store 5 feet or in a locked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A monthly playground inspection was last completed on 10/8/25. .0605(q) Technical Assistance: 1.The annual fire inspection report should be sent to me by email within one week of completion. To maintain compliance with this child care requirement, I suggest you or the school principal forward the email containing the fire inspection report to me when you receive it from the fire inspector. 2.When using the activity plan to document screen-time use for a whole group of children, I suggested you record the name of the video, etc. being viewed and the total number of minutes viewed. When screen-time is logged on an activity plan, the number of minutes, the name of the activity, the name of the website or app, and the name(s) of the children or whole group participating in the screen-time viewing should be documented on the activity plan. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. 3. It was discussed that when the walls of the classroom need repair that a maintenance request is put in and it is discussed with administrative staff so the wall will not have chipping or peeling paint. 4. It was discussed that all food that is brought from home must be labeled with the name of the child and the current date before placed in the storage area. 5. Per sanitation rule 15A NCAC 18A.2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. To maintain compliance with this child care requirement, I suggested you lock these hazardous items in the cabinets in the classroom. 6.Monthly playground inspections are to be completed by an individual who has been trained in playground safety requirements. It was discussed that these inspections are required to ensure the safety of children prior to playground use by allowing staff to identify and address any potential hazards before children enter the play area. Consultation: QRIS Pathway to the Stars Next Steps by Pathway If you choose Pathway 1: Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, March 27, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, March 27, 2026. Confirm all staff have current WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. Prepare for the ECERS-3 Environmental Rating Scale (ERS) assessments. Access resources, trainings, and outreach at ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify Individual Continuous Quality Improvement (CQI) goals and begin planning for implementation. Develop strategies for the facility's Family and Community Engagement Plan. If four-year-old's are enrolled, select and implement an approved curriculum. 2. If you choose Pathway 2: Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, March 27, 2026. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Identify Individual Continuous Quality Improvement (CQI) goals and begin planning for implementation. Develop strategies for the facility's Family and Community Engagement plan. Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) Arranging coaching or training options for administrators and lead teachers. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than February 03, 2026. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/20/2026 Number Present: 3 Completed Date: 1/20/2026 Age: From 3 To 4 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Taneisha Collins , Lead Teacher, assisted me with today’s visit. Erin Pickard, Licensing Supervisor, accompanied me during today's visit. I conducted your last annual compliance visit on February 25, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with Iredell-Statesville School System, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 90% as of January 16, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issued on January 11, 2016, earning 7 points in staff education, 7 points in program standards, and one (1) quality point. Your last sanitation inspection was dated October 27, 2025 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and outdoor space. I observed children participating in teacher-directed small group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a mini refrigerator in the classroom and water bottles brought from home stored in the refrigerator. I observed that food and beverages brought from home was not labeled with the name of the child and today’s date. I observed that doughnuts were on the teacher’s desk and not stored away from children. I observed that today’s lunch from the cafeteria consisted of cheese pizza, smiley face potato wedges, sliced oranges, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that bleach sanitizers were not stored five feet and was stored on top of the mini refrigerator. I observed that hand sanitizer, and sanitizer wipes that had multiple warnings were stored on top of the teacher desk and not locked in a locked cabinet. I monitored program records, child record files, and staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I was unable to observe staff members met the education requirements for DD staff because I could not get into the WORKS account during my visit. I will monitor staff education when I return to my office. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of one staff members and three children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:00am to 2:00pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2025 – 2026 school year. I observed that 3 children leave on certain days early to attend other student services that are described on their IEP’s. I monitored licensed capacity, supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 5/17/2024. 10A NCAC 09 .0304(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was being used during today's visit and was not being recorded on an activity plan or screen time log. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Sippy cup for one child located in the classroom refrigerator did not have name of child or today's date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls at the front of the classroom have chipping and peeling paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two hand sanitizers and sanitizer wipes that have multiple warnings were stored on top of the teacher desk. Clorox wipes were stored on an open shelf, not locked. Bleach bottles were not store 5 feet or in a locked cabinet. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A monthly playground inspection was last completed on 10/8/25. .0605(q) Technical Assistance: 1.The annual fire inspection report should be sent to me by email within one week of completion. To maintain compliance with this child care requirement, I suggest you or the school principal forward the email containing the fire inspection report to me when you receive it from the fire inspector. 2.When using the activity plan to document screen-time use for a whole group of children, I suggested you record the name of the video, etc. being viewed and the total number of minutes viewed. When screen-time is logged on an activity plan, the number of minutes, the name of the activity, the name of the website or app, and the name(s) of the children or whole group participating in the screen-time viewing should be documented on the activity plan. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. 3. It was discussed that when the walls of the classroom need repair that a maintenance request is put in and it is discussed with administrative staff so the wall will not have chipping or peeling paint. 4. It was discussed that all food that is brought from home must be labeled with the name of the child and the current date before placed in the storage area. 5. Per sanitation rule 15A NCAC 18A.2820(b), all cleaning supplies, aerosol cans, and items with “Keep out of the reach children” labels with additional warnings such as poison control contact numbers or first aid procedures should be stored in a locked cabinet, drawer, or closet. To maintain compliance with this child care requirement, I suggested you lock these hazardous items in the cabinets in the classroom. 6.Monthly playground inspections are to be completed by an individual who has been trained in playground safety requirements. It was discussed that these inspections are required to ensure the safety of children prior to playground use by allowing staff to identify and address any potential hazards before children enter the play area. Consultation: QRIS Pathway to the Stars Next Steps by Pathway If you choose Pathway 1: Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, March 27, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, March 27, 2026. Confirm all staff have current WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. Prepare for the ECERS-3 Environmental Rating Scale (ERS) assessments. Access resources, trainings, and outreach at ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify Individual Continuous Quality Improvement (CQI) goals and begin planning for implementation. Develop strategies for the facility's Family and Community Engagement Plan. If four-year-old's are enrolled, select and implement an approved curriculum. 2. If you choose Pathway 2: Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, March 27, 2026. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Identify Individual Continuous Quality Improvement (CQI) goals and begin planning for implementation. Develop strategies for the facility's Family and Community Engagement plan. Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) Arranging coaching or training options for administrators and lead teachers. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than February 03, 2026. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 8/19/2025 Number Present: 3 Completed Date: 8/19/2025 Age: From 3 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Kimberly Hill, substitute Lead Teachers, and Jenifer Dalton, Principal assisted me with today’s visit. I conducted your last annual compliance (AC) visit on February 25, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with the owner of your facility. I reviewed with you today the restrictions, capacity, and age range on your permit and observed these being maintained. Your center's compliance history was 92% as of August 18, 2025, and was reviewed with you today. Your program currently operates with a 5-star license, issued May 21, 2020, earning seven points in staff education, seven points in program standards, and one quality point for 75% of lead teachers having a BA/BS or higher in early childhood education or child development. I monitored your program for compliance with Developmental Day. Your most recent fire inspection was dated July 07, 2025, and received today during my visit. Your most recent sanitation inspection was dated May 07, 2025, with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. I completed a walk-through of the facility today. I monitored all indoor and outdoor areas. I observed children throughout the facility participating in group time, free play in activity areas, transitions, and personal care routines. I observed the teachers interacting and meeting the developmental needs for each of the children. A current menu was posted in each classroom, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Today’s lunch included breaded cheese sticks, potato wedges, apple slices, and milk. Meals were prepared in the cafeteria and served in the classrooms. Cold food and milk served to the children was stored in a residential refrigerator in each classroom at a temperature of 44 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for one staff member to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid ITS-SIDS training and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. I reviewed staff record files for one substitute staff and there was not a current Criminal Background qualification letter on file. I monitored health and safety requirements. I reviewed your written operational, administrative, and personnel policies and your parent participation plan at a routine unannounced visit on September 10, 2024. You stated your written policies and procedures had not changed. I monitored Developmental Day (DD) requirements during today’s visit. I observed staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a care plan documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. You stated your DD program offers family involvement including holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, providing quarterly parent education sessions, and providing parents with referral information about other community programs and resources serving young children. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2025 – 2026 school year. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. I observed and cited the following violation during today’s visit: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Teacher with the hire date of 08/18/2025 did not have a current qualification letter on file. G.S. 110-90.2(b) & .2703(n)&(o) TECHNICAL ASSISTANCE: 1)Criminal Background Qualifying letters are to be current and on file in the file of each member of staff. . CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3. The Classroom Staff to Child Ratio worksheets should be completed to reflect the DD ratio of 1:6 and the “Highest Voluntary Enhanced Requirements” should be checked on the worksheet. Also, this document should be posted in a way that is easily visible to staff, parents, and visitors. Nothing should be covering any part of this document. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than September 2, 2025. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0509 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 9 Completed Date: 2/25/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Angela Wyatt, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on March 26, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with the corporation, Iredell-Statesville Schools, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained Your program’s compliance history was 90% as of February 24, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issue on May 21, 2020, earning 7 points in staff education, 7 points in program standards, and one (1) quality point for all lead teachers having an AAS or higher in early childhood education or child development. Your program was monitored for compliance with Developmental Day and NC PreK requirements. Your last sanitation inspection was dated September 20, 2024 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and each outdoor space with you today. I observed students participating in teacher-directed whole group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from indoors to outdoors, playing outside, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a refrigerator in the classroom and water bottles brought from home stored in individual cubbies. I observed food and beverages brought from home labeled with the name of the child and today’s date. I observed that today’s lunch consisted of hot dogs, pineapples, potatoes, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I observed staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of 3 staff members and 9 children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:10am to 2:10pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2024 – 2025 school year. I observed and cited no violations related to Developmental Day requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. All materials were not accessible in two activity areas. Materials were turned to face wall. GS 110-91(12);10A NCAC 09 .0509(1) 1054 Documentation of staff's on-going training was not on file and/or was not current . Employee with the hire date 9/2023 has not completed all training hours required. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. Employee wit the hire date 9/2023 has not completed the health and safety training within one year of employment. .1102(a) Technical assistance: 1. It was discussed with staff that all Health and Safety trainings must be completed within one year of hire and every five years after first training is completed. 2. It was discussed with staff that materials have to be accessible to children at all time of the day. It was discussed that toys can not be turned around on the shelf of put away so child can not reach them. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. 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. 3. 3 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 11, 2025. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or our lead consultant and interim licensing supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1106 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 9 Completed Date: 2/25/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Angela Wyatt, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on March 26, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with the corporation, Iredell-Statesville Schools, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained Your program’s compliance history was 90% as of February 24, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issue on May 21, 2020, earning 7 points in staff education, 7 points in program standards, and one (1) quality point for all lead teachers having an AAS or higher in early childhood education or child development. Your program was monitored for compliance with Developmental Day and NC PreK requirements. Your last sanitation inspection was dated September 20, 2024 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and each outdoor space with you today. I observed students participating in teacher-directed whole group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from indoors to outdoors, playing outside, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a refrigerator in the classroom and water bottles brought from home stored in individual cubbies. I observed food and beverages brought from home labeled with the name of the child and today’s date. I observed that today’s lunch consisted of hot dogs, pineapples, potatoes, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I observed staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of 3 staff members and 9 children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:10am to 2:10pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2024 – 2025 school year. I observed and cited no violations related to Developmental Day requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. All materials were not accessible in two activity areas. Materials were turned to face wall. GS 110-91(12);10A NCAC 09 .0509(1) 1054 Documentation of staff's on-going training was not on file and/or was not current . Employee with the hire date 9/2023 has not completed all training hours required. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. Employee wit the hire date 9/2023 has not completed the health and safety training within one year of employment. .1102(a) Technical assistance: 1. It was discussed with staff that all Health and Safety trainings must be completed within one year of hire and every five years after first training is completed. 2. It was discussed with staff that materials have to be accessible to children at all time of the day. It was discussed that toys can not be turned around on the shelf of put away so child can not reach them. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. 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. 3. 3 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 11, 2025. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or our lead consultant and interim licensing supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 9 Completed Date: 2/25/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Angela Wyatt, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on March 26, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with the corporation, Iredell-Statesville Schools, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained Your program’s compliance history was 90% as of February 24, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issue on May 21, 2020, earning 7 points in staff education, 7 points in program standards, and one (1) quality point for all lead teachers having an AAS or higher in early childhood education or child development. Your program was monitored for compliance with Developmental Day and NC PreK requirements. Your last sanitation inspection was dated September 20, 2024 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and each outdoor space with you today. I observed students participating in teacher-directed whole group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from indoors to outdoors, playing outside, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a refrigerator in the classroom and water bottles brought from home stored in individual cubbies. I observed food and beverages brought from home labeled with the name of the child and today’s date. I observed that today’s lunch consisted of hot dogs, pineapples, potatoes, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I observed staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of 3 staff members and 9 children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:10am to 2:10pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2024 – 2025 school year. I observed and cited no violations related to Developmental Day requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. All materials were not accessible in two activity areas. Materials were turned to face wall. GS 110-91(12);10A NCAC 09 .0509(1) 1054 Documentation of staff's on-going training was not on file and/or was not current . Employee with the hire date 9/2023 has not completed all training hours required. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. Employee wit the hire date 9/2023 has not completed the health and safety training within one year of employment. .1102(a) Technical assistance: 1. It was discussed with staff that all Health and Safety trainings must be completed within one year of hire and every five years after first training is completed. 2. It was discussed with staff that materials have to be accessible to children at all time of the day. It was discussed that toys can not be turned around on the shelf of put away so child can not reach them. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. 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. 3. 3 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 11, 2025. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or our lead consultant and interim licensing supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/25/2025 Number Present: 9 Completed Date: 2/25/2025 Age: From 3 To 5 Total Minutes: 225 Time In: 09:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Angela Wyatt, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on March 26, 2024. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility. I reviewed the facility’s permit with you today. You stated there has been no change with the corporation, Iredell-Statesville Schools, that owns your facility. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained Your program’s compliance history was 90% as of February 24, 2025, and was reviewed with you today. Your program currently operates with a five-star license, issue on May 21, 2020, earning 7 points in staff education, 7 points in program standards, and one (1) quality point for all lead teachers having an AAS or higher in early childhood education or child development. Your program was monitored for compliance with Developmental Day and NC PreK requirements. Your last sanitation inspection was dated September 20, 2024 with a Superior classification and 4 demerits. I verified that you have completed the lead water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water source was within the required limits. I verified that you have registered for the lead paint/asbestos testing. Your last fire inspection was dated May 17, 2024. I visited each licensed indoor space and each outdoor space with you today. I observed students participating in teacher-directed whole group activities, transitioning from whole group to activity areas, playing in activity areas, transitioning from indoors to outdoors, playing outside, transitioning from outdoors to indoors, preparing for lunch, eating lunch, and napping. I observed a current menu documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. I observed lunch prepared in the school cafeteria and served in the classrooms. I observed food brought from home stored in a refrigerator in the classroom and water bottles brought from home stored in individual cubbies. I observed food and beverages brought from home labeled with the name of the child and today’s date. I observed that today’s lunch consisted of hot dogs, pineapples, potatoes, and milk. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored Developmental Day (DD) requirements during today’s visit. I observed staff members met the education requirements for DD staff. The children identified with developmental delays have care plans documented on an IFSP, IEP or PCP. I observed typically developing children participating in daily activities that were outlined in a plan of care documented on an activity plan meeting all child care requirements. I observed activities allowing the children to participate as a whole group, small group, part of the group or independently. I observed children identified with developmental delays enrolled, interacting, and participating in activities alongside typically developing children. I observed DD staff-child ratio requirements of 1 staff to 6 children in compliance during today’s visit with a total of 3 staff members and 9 children in the classroom during today’s visit. You stated your DD program offers family involvement including quarterly parent education sessions, holding parent-teacher conferences at least twice a year, communicating on an individual basis with parents, having parents as members of a center advisory board, providing opportunities for parent volunteers to assist with special classroom activities, and providing parents with referral information about other community programs and resources serving young children. You stated children enrolled in Developmental Day attended your program from 7:10am to 2:10pm. You stated your DD program follows the Iredell-Statesville Public Schools calendar for the 2024 – 2025 school year. I observed and cited no violations related to Developmental Day requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. I observed and cited the following violations during today's visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. All materials were not accessible in two activity areas. Materials were turned to face wall. GS 110-91(12);10A NCAC 09 .0509(1) 1054 Documentation of staff's on-going training was not on file and/or was not current . Employee with the hire date 9/2023 has not completed all training hours required. 10A NCAC 09 .1106(a) 1898 Staff did not complete the health and safety training within one year of employment. Employee wit the hire date 9/2023 has not completed the health and safety training within one year of employment. .1102(a) Technical assistance: 1. It was discussed with staff that all Health and Safety trainings must be completed within one year of hire and every five years after first training is completed. 2. It was discussed with staff that materials have to be accessible to children at all time of the day. It was discussed that toys can not be turned around on the shelf of put away so child can not reach them. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2. 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. 3. 3 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I should receive your compliance letter no later than March 11, 2025. Please be aware 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. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or our lead consultant and interim licensing supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CLOVERLEAF ELEMENTARY PRESCHOOL Facility ID: 49000443 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 2 Completed Date: 9/10/2024 Age: From 3 To 4 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 for a routine unannounced visit. You, Angela Wyatt , Developmental Day Lead Teacher, assisted me with the visit. Your program currently operates with a 5-star license. Your last ACV was on March 26, 2024. I observed your Five-Star License, NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions maintained during today’s visit. I observed children engaged in center play, group time, gross motor activities, routine toileting practices, hand washing, and eating lunch. I observed activity area including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity for the use of children. I observed that all materials are developmentally appropriate in all the spaces and materials are in good repair. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed that your lunch menu was current for the month of September. Your lunch today consisted of chicken nuggets, sweet potato soufflé, green beans, craisins, roll, and milk Your sanitation inspection was conducted on February 15, 2024, with a Superior classification and 6 demerits. I observed that your last Fire Inspection was conducted on April 11, 2023. This inspection is not current, and a fire inspection needs to be scheduled. Last inspection was conducted April 11, 2023. I observed monthly Outdoor Inspections documented. I observed you last outdoor inspection was dated August 12,2024. I observed your monthly Fire Drill Log, a drill was conducted on August 15, 2024. Fire Drills are to be conducted every month. I observed your Emergency Drill Log and a Lock-Down drill was conducted on September 4, 2024. I observed all staff Criminal Qualifying Letters and all staff members were checked in the ABCMS for compliance, & First Aid trainings, and Recognizing & Responding to Suspicious of Child Maltreatment trainings. One staff member did not have a current CPR & First Aid certificate on file this was corrected during visit. The following violation was observed and cited during the visit today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Facility did not have a current Fire inspection on file. Last inspection done 4/11/23. 10A NCAC 09 .0304(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One employee with the hire date of 11/7/22 did not have a current First Aid certificate on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Employee with the hire date of 11/7/22 did not have a current CPR certificate on file. .1102(d) All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than September 24, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date, you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (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