N.B. Mills - ISS Staff Childcare

10A NCAC 09 .0608 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 9 Completed Date: 2/6/2026 Age: From 1 To 4 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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, Cameran Cranford, Lead Teacher and Natalie Wingler, Lead Support assisted me with today’s visit. I conducted your last annual compliance visit on March 07, 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, Iredell-Statesville School. I reviewed the facility’s permit with you today. 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 85% as of February 05, 2026, and was reviewed with you today. Your program currently operates with a one-star license, issued on November 05, 2018, earning zero points in staff education, one points in program standards, and zero quality points. QRIS information was discussed with Jill Wingler, Director of ISS Staff Child Care, on November 25, 2026. It was stated that all ISS Staff Child Care Centers will follow QRIS Pathway 1. Additionally, each facility will participate in a mock assessment. Your last sanitation inspection was dated December 16, 2025, with an Approved classification and ten demerits Your last fire inspection was dated March 17, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and eating lunch. I observed that the current lesson plan was not posted. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored that your last fire drill was dated January 07, 2026. I observed that your last emergency drill was dated January 15, 2026, and it was a Lockdown drill. I monitored program records, child record files, staff record files. I monitored health and safety requirements. Today I observed that the blinds were broken and pieces of the plastic from the broken blinds could be a hazard for the children. 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. The following violations were observed and cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted. The lesson plan posted was dated January 19-23. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed that blinds in the windows were broken and could be a hazard to children. 15A NCAC 18A .2825(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/12/23 has not completed on-going training hours required. .1103(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 9/12/23 has not reviewed the EPR plan annually. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff with the hire dated of 9/2/25 and 9/12/23 do not have Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each group or classroom. 2.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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. QRIS: 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, April 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 27, 2026. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, books. Prepare Environmental Rating Scale (ERS) assessments. Access resources, trainings, and outreach ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. If four-year-olds are enrolled, select and implement an approved curriculum. 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 must receive your compliance letter no later than February 20, 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

GS 110-91 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 9 Completed Date: 2/6/2026 Age: From 1 To 4 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 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, Cameran Cranford, Lead Teacher and Natalie Wingler, Lead Support assisted me with today’s visit. I conducted your last annual compliance visit on March 07, 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, Iredell-Statesville School. I reviewed the facility’s permit with you today. 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 85% as of February 05, 2026, and was reviewed with you today. Your program currently operates with a one-star license, issued on November 05, 2018, earning zero points in staff education, one points in program standards, and zero quality points. QRIS information was discussed with Jill Wingler, Director of ISS Staff Child Care, on November 25, 2026. It was stated that all ISS Staff Child Care Centers will follow QRIS Pathway 1. Additionally, each facility will participate in a mock assessment. Your last sanitation inspection was dated December 16, 2025, with an Approved classification and ten demerits Your last fire inspection was dated March 17, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and eating lunch. I observed that the current lesson plan was not posted. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored that your last fire drill was dated January 07, 2026. I observed that your last emergency drill was dated January 15, 2026, and it was a Lockdown drill. I monitored program records, child record files, staff record files. I monitored health and safety requirements. Today I observed that the blinds were broken and pieces of the plastic from the broken blinds could be a hazard for the children. 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. The following violations were observed and cited during today's visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted. The lesson plan posted was dated January 19-23. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed that blinds in the windows were broken and could be a hazard to children. 15A NCAC 18A .2825(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/12/23 has not completed on-going training hours required. .1103(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 9/12/23 has not reviewed the EPR plan annually. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff with the hire dated of 9/2/25 and 9/12/23 do not have Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each group or classroom. 2.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 3.Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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. QRIS: 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, April 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 27, 2026. Confirm all staff have active WORKS accounts. Complete the QRIS Staff Information and Education Worksheet electronically. Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, books. Prepare Environmental Rating Scale (ERS) assessments. Access resources, trainings, and outreach ncrlap.org. Work with CCR&R or Smart Start for support in preparation. Identify CQI goals and begin planning for implementation. Develop strategies for Family and Community Engagement. If four-year-olds are enrolled, select and implement an approved curriculum. 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 must receive your compliance letter no later than February 20, 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 .0803 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 9/29/2025 Number Present: 6 Completed Date: 9/29/2025 Age: From 2 To 4 Total Minutes: 120 Time In: 10:00 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, Sally Schultz, Principal, assisted me with today’s visit. I conducted your last annual compliance visit on March 07, 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. You stated there has been no change with the corporate owner, Iredell-Statesville Schools, that owns your facility. I reviewed the facility’s permit with you today including the restrictions, capacity, and age range and observed these being maintained today. Your center's compliance history was 89% as of September 26, 2025, and was reviewed with you today. Your program currently operates with a One-star license, issued on January 04, 2024, earning zero points in staff education, one points in program standards, and no quality point. Your most recent fire inspection was dated March 17, 2025. Your most recent sanitation inspection was dated June 23, 2025, with an Approved classification and 13 demerits. You and I completed a walk-through of the indoor licensed spaces today. I observed children throughout the facility participating in free play in activity areas, transitions, and personal care routines. I observed that staff purses were not in a locked cabinet and were on top of the cabinet. You and I completed a walk-through of the outdoor licensed spaces today. I observed that on the playground area there was standing water in the outside kitchen area, and toys need to be cleaned. I observed nutrition opt out forms on file for each child, therefore the facility is not required to supplement food items sent from home. Cold food and milk were stored in a refrigerator in the classrooms at a temperature of 36 degrees Fahrenheit. I observed that all lunches in the refrigerator were labeled with the children names and dates. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. One medicine form was not completed in entirety by the parent. I observed that in the playground area there was standing water in the outside kitchen area, and toys need to be cleaned. 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 two returning staff members to verify current and valid Criminal Background Check qualification letters ( all Criminal Background Check qualification letters were checked in the ABCMS System) valid CPR and First Aid training, completion of Basic School Age Care training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, completion of Playground Safety training by at least one staff member, and completion of Emergency Preparedness and Response training by at least one staff member. I reviewed one new staff record in entirety during my visit today. 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 October 31, 2024. You stated your written policies and procedures had not changed. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations was observed and cited during today’s visit: Violation Number Comment Rule 808 The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. I observed that on the playground area water was standing in empty containers and the outdoor kitchen area. 15A NCAC 18A .2832(a) 847 Parent's medication authorization did not include required information. One medication form did not have all the required information completed by parent. 10A NCAC 09 .0803(4)(6-9) TECHNICAL ASSISTANCE: 1.It was discussed that staff need to conduct playground inspections daily to make sure the playground toys do not have water sitting in them and trash is picked up off the playground daily. 2.It was discussed that all medication forms for diaper creams and other creams need to be completed in full by the parent before leaving them in the classroom with the teacher. It was suggested that the teacher check the medication form before the parents leave the classroom. 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 Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit or connect the new employee to the facility through the ABCMS portal. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. Administrators may take the ABCMS training through DCDEE MOODLE to gain access codes necessary to complete the process in ABCMS. Throughout the past year, I recommended you consider completing the following tasks and activities that would help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, and/or SACERS-U] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 If you have questions, please contact me. I look forward to helping you through this rated license reassessment process. 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 must receive your compliance letter no later than October 13, 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 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

GS 110-91 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 13 Completed Date: 3/7/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Leah Dover, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on May 16, 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 Iredell-Statesville County School. I reviewed the facility’s permit with you today. 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 91% as of March 06, 2025, and was reviewed with you today. Your program currently operates with a one-star license, issued on January 04, 2024, earning no points in staff education, one points in program standards, and no quality point. Your last sanitation inspection was dated November 04, 2024, with a Superior classification and eight demerits Your last fire inspection was dated October 22, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, completing an emergency drill, and eating lunch. I observed in space C215(toddlers’ classroom) the attendance was not completed for the day and there was no daily schedule posted. I observed in space C-Lab (Preschool classroom) there was no current activity plan posted. I observed nutrition opt out forms on file for each child. Therefore the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I observed that in classroom C215 Toddlers that 2 medication authorization forms were not filled out by the parent. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated March 7, 2025, and it was a Tornado drill. This drill was conducted school wide during my visit. I monitored program records, child record files, staff record files. I monitored health and safety 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 violations during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. In space C215 a daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted in Preschool classroom. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Two diaper creams in the toddler classroom did not have parent's authorization form completed. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance: Attendance in space in C215 was not completed. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no documentation staff received annual EPR training. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two employees' with the hire dates of 2/4/25The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hire date 10/10/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: 1)Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child and the parent should complete the permission to administer form leaving no spaces blank. To maintain compliance with this child care requirement, I suggested you review the permission to administer form when received from the parent and prior to the parent leaving the facility. 2) An individualized written activity plan should be created, posted, and followed for each i group or classroom. 3) A daily schedule should be created, posted, and followed in each classroom. 4) The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 5) Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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.Technical Assistance Guidance 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. 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 must receive your compliance letter no later than March 21, 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 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 .0608 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 13 Completed Date: 3/7/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Leah Dover, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on May 16, 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 Iredell-Statesville County School. I reviewed the facility’s permit with you today. 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 91% as of March 06, 2025, and was reviewed with you today. Your program currently operates with a one-star license, issued on January 04, 2024, earning no points in staff education, one points in program standards, and no quality point. Your last sanitation inspection was dated November 04, 2024, with a Superior classification and eight demerits Your last fire inspection was dated October 22, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, completing an emergency drill, and eating lunch. I observed in space C215(toddlers’ classroom) the attendance was not completed for the day and there was no daily schedule posted. I observed in space C-Lab (Preschool classroom) there was no current activity plan posted. I observed nutrition opt out forms on file for each child. Therefore the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I observed that in classroom C215 Toddlers that 2 medication authorization forms were not filled out by the parent. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated March 7, 2025, and it was a Tornado drill. This drill was conducted school wide during my visit. I monitored program records, child record files, staff record files. I monitored health and safety 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 violations during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. In space C215 a daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted in Preschool classroom. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Two diaper creams in the toddler classroom did not have parent's authorization form completed. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance: Attendance in space in C215 was not completed. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no documentation staff received annual EPR training. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two employees' with the hire dates of 2/4/25The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hire date 10/10/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: 1)Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child and the parent should complete the permission to administer form leaving no spaces blank. To maintain compliance with this child care requirement, I suggested you review the permission to administer form when received from the parent and prior to the parent leaving the facility. 2) An individualized written activity plan should be created, posted, and followed for each i group or classroom. 3) A daily schedule should be created, posted, and followed in each classroom. 4) The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 5) Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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.Technical Assistance Guidance 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. 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 must receive your compliance letter no later than March 21, 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 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 .0803 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 13 Completed Date: 3/7/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Leah Dover, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on May 16, 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 Iredell-Statesville County School. I reviewed the facility’s permit with you today. 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 91% as of March 06, 2025, and was reviewed with you today. Your program currently operates with a one-star license, issued on January 04, 2024, earning no points in staff education, one points in program standards, and no quality point. Your last sanitation inspection was dated November 04, 2024, with a Superior classification and eight demerits Your last fire inspection was dated October 22, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, completing an emergency drill, and eating lunch. I observed in space C215(toddlers’ classroom) the attendance was not completed for the day and there was no daily schedule posted. I observed in space C-Lab (Preschool classroom) there was no current activity plan posted. I observed nutrition opt out forms on file for each child. Therefore the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I observed that in classroom C215 Toddlers that 2 medication authorization forms were not filled out by the parent. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated March 7, 2025, and it was a Tornado drill. This drill was conducted school wide during my visit. I monitored program records, child record files, staff record files. I monitored health and safety 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 violations during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. In space C215 a daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted in Preschool classroom. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Two diaper creams in the toddler classroom did not have parent's authorization form completed. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance: Attendance in space in C215 was not completed. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no documentation staff received annual EPR training. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two employees' with the hire dates of 2/4/25The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hire date 10/10/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: 1)Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child and the parent should complete the permission to administer form leaving no spaces blank. To maintain compliance with this child care requirement, I suggested you review the permission to administer form when received from the parent and prior to the parent leaving the facility. 2) An individualized written activity plan should be created, posted, and followed for each i group or classroom. 3) A daily schedule should be created, posted, and followed in each classroom. 4) The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 5) Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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.Technical Assistance Guidance 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. 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 must receive your compliance letter no later than March 21, 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 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: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 3/7/2025 Number Present: 13 Completed Date: 3/7/2025 Age: From 0 To 4 Total Minutes: 165 Time In: 09:00 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Leah Dover, Lead Teacher, assisted me with today’s visit. I conducted your last annual compliance visit on May 16, 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 Iredell-Statesville County School. I reviewed the facility’s permit with you today. 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 91% as of March 06, 2025, and was reviewed with you today. Your program currently operates with a one-star license, issued on January 04, 2024, earning no points in staff education, one points in program standards, and no quality point. Your last sanitation inspection was dated November 04, 2024, with a Superior classification and eight demerits Your last fire inspection was dated October 22, 2024. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, completing an emergency drill, and eating lunch. I observed in space C215(toddlers’ classroom) the attendance was not completed for the day and there was no daily schedule posted. I observed in space C-Lab (Preschool classroom) there was no current activity plan posted. I observed nutrition opt out forms on file for each child. Therefore the facility is not required to supplement food items sent from home. Cold food and milk were stored in refrigerators in the classrooms at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I monitored one emergency medication and action plan. I observed that in classroom C215 Toddlers that 2 medication authorization forms were not filled out by the parent. I monitored that your last fire drill was dated February 26, 2025. I observed that your last emergency drill was dated March 7, 2025, and it was a Tornado drill. This drill was conducted school wide during my visit. I monitored program records, child record files, staff record files. I monitored health and safety 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 violations during today's visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. In space C215 a daily schedule was not posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted in Preschool classroom. GS 110-91(12); .0508(a) 847 Parent's medication authorization did not include required information. Two diaper creams in the toddler classroom did not have parent's authorization form completed. 10A NCAC 09 .0803(4)(6-9) 1301 Center did not maintain a record of daily attendance: Attendance in space in C215 was not completed. GS 110-91(9) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no documentation staff received annual EPR training. .0607(e) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two employees' with the hire dates of 2/4/25The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member hire date 10/10/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance: 1)Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child and the parent should complete the permission to administer form leaving no spaces blank. To maintain compliance with this child care requirement, I suggested you review the permission to administer form when received from the parent and prior to the parent leaving the facility. 2) An individualized written activity plan should be created, posted, and followed for each i group or classroom. 3) A daily schedule should be created, posted, and followed in each classroom. 4) The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 5) Per child care rule 10A NCAC 09 .0608(d)(1-4), the Prevention of the Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement statement signed and dated by the staff should include the individual’s name, the date the center’s policy was given and explained to the individual, the individual’s signature, and the date the individual signed the acknowledgment. To maintain compliance with this child care requirement, I suggested you double-check each staff acknowledgement statement during the orientation training process to be sure the statements are signed and dated and completed as required prior to placing the document in the staff record file. 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.Technical Assistance Guidance 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. 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 must receive your compliance letter no later than March 21, 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 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 .0803 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 15 Completed Date: 10/31/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Leah Dover, Lead Teacher, assisted me with the visit today. Your program currently operates with a One-star license. Your last ACV was on May 16, 2024. I observed your One-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 minimum 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 nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. I observed children throughout the child care facility children were participating in group time, free play in activity areas, transitions, personal care routines and lunch. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed and monitored all medications today. I observed that all two of the diaper creams did not have parent authorization forms where all the information was completed by the parent. All information on the authorization form must be completed by the parent. I observed the outdoor play environment. I observed the equipment and materials to be in good condition. I observed the fence to be of adequate height and in good repair in all areas. I observed and monitored Playground inspections and the last was dated October 21, 2024. Playground inspection is to be conducted every month. Your sanitation inspection was conducted on May 29, 2024, with a Superior classification and 4 demerits. Your last fire inspection was conducted on September 06, 2024. Fire inspections are to be conducted annually. I observed your monthly Fire Drill Log, a drill was conducted on October 29, 2024. Fire drills are to be conducted monthly. I observed your Emergency Drill Log and a Lockdown drill was conducted on August 27, 2024. Emergency drills are to be conducted every three months. I observed all staff criminal background qualifying letters. All staff members qualifying letter were checked in the ABCMS criminal background system, CPR & First Aid trainings, ITS-SIDS, BSAC, and Recognizing & Responding to Suspicious of Child Maltreatment training were monitored today. I observed that one staff member with the hire date 10/10/24 did not have a qualifying letter for review. Employee was in the ABCMS system. I observed and cited the following violations during the visit today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. 2 bottles in the infant classroom refrigerator were not labeled with the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Diaper cream authorization form was not complete. All spaces were not completed by parent. 10A NCAC 09 .0803(4)(6-9) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letter for employee hire date 10/10/24 was not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: 1. It was discussed that all Qualifying letter need to be on file for review. It was discussed that each employee has to have a file at the facility with current information. It was discussed that the new staff will complete this at the time of hire. 2. It was discussed with staff that all children bottles need to be labeled with the child's name and date when the child enters the classroom. If the bottles are not dated it is the responsibility of the teacher to write the name and date on the bottle. 3. It was discussed with staff that after the parent completes the medication authorization form that the teacher checks the form to make sure it is complete and signed by the parent. 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 November 14, 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 having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. 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

G.S. 110-90 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 10/31/2024 Number Present: 15 Completed Date: 10/31/2024 Age: From 0 To 4 Total Minutes: 210 Time In: 09:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Leah Dover, Lead Teacher, assisted me with the visit today. Your program currently operates with a One-star license. Your last ACV was on May 16, 2024. I observed your One-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 minimum 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 nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. I observed children throughout the child care facility children were participating in group time, free play in activity areas, transitions, personal care routines and lunch. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed and monitored all medications today. I observed that all two of the diaper creams did not have parent authorization forms where all the information was completed by the parent. All information on the authorization form must be completed by the parent. I observed the outdoor play environment. I observed the equipment and materials to be in good condition. I observed the fence to be of adequate height and in good repair in all areas. I observed and monitored Playground inspections and the last was dated October 21, 2024. Playground inspection is to be conducted every month. Your sanitation inspection was conducted on May 29, 2024, with a Superior classification and 4 demerits. Your last fire inspection was conducted on September 06, 2024. Fire inspections are to be conducted annually. I observed your monthly Fire Drill Log, a drill was conducted on October 29, 2024. Fire drills are to be conducted monthly. I observed your Emergency Drill Log and a Lockdown drill was conducted on August 27, 2024. Emergency drills are to be conducted every three months. I observed all staff criminal background qualifying letters. All staff members qualifying letter were checked in the ABCMS criminal background system, CPR & First Aid trainings, ITS-SIDS, BSAC, and Recognizing & Responding to Suspicious of Child Maltreatment training were monitored today. I observed that one staff member with the hire date 10/10/24 did not have a qualifying letter for review. Employee was in the ABCMS system. I observed and cited the following violations during the visit today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. 2 bottles in the infant classroom refrigerator were not labeled with the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Diaper cream authorization form was not complete. All spaces were not completed by parent. 10A NCAC 09 .0803(4)(6-9) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letter for employee hire date 10/10/24 was not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance: 1. It was discussed that all Qualifying letter need to be on file for review. It was discussed that each employee has to have a file at the facility with current information. It was discussed that the new staff will complete this at the time of hire. 2. It was discussed with staff that all children bottles need to be labeled with the child's name and date when the child enters the classroom. If the bottles are not dated it is the responsibility of the teacher to write the name and date on the bottle. 3. It was discussed with staff that after the parent completes the medication authorization form that the teacher checks the form to make sure it is complete and signed by the parent. 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 November 14, 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 having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. 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

GS 110-91 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 10 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Natalie Price, Lead Support assisted me with today’s visit. This is your first annual compliance visit conducted on May 16, 2024. Your program currently operates with a one-star license, issued on January 04, 2024. Your program’s compliance history was 90% as of May 15, 2024, and was reviewed with you today. I observed your sanitation inspection was dated December 14,2023 with a superior classification and 10 demerits. I observed your last fire inspection was dated May 16, 2023. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised during today’s visit. I observed the staff-child ratio maintained during today’s visit. I observed adequate approved space use maintained during today’s visit. I observed children engaged in free play activities indoor and outdoor. I observed children in group time, personal care routines, small group time, center out, and lunch. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to children and of sufficient quantity. I reviewed children’s records today and observed no violation regarding children’s records. I reviewed staff records today and there was one violations regarding staff records. I observed and monitored 1 sunscreen today. I observed the medication form was complete and in compliance. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated April 19,2024. I observed your monthly fire drill log documented for the past twelve (12). I observed your last fire drill was dated March 21, 2024. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last dill was a Lockdown drill and was dated April 20, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated in February 2024. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required to supplement food items sent from home. I observed your Incident Log to be current for the school year. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of your visit. The following violations were observed, and cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in the Preschool Classroom. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill posted on Emergency drill log was dated 3/21/24. .0604(t); .0302(d)(5) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Two children had missing days on the infant sleep that were not recorded and the children were present. Days were 3/21, 3/22, 3/26, 4/13, 4/14, and 5/7. .0606(g) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member had not completed a current emergency Information form. .0701(a) Technical Assistance: Sleep logs are to be completed each time a child a child is laid in a crib to sleep and every 15 mins until the child awakes. 2. Lesson plans are to posted in the classroom. The lesson plans are to be completed and posted on Friday before the following week. 3. Emergency forms are to be updated annually. 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 May 30, 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 having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. 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

10A NCAC 09 .0302 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 13 Completed Date: 12/13/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Miranda Lester, Lead Teacher, assisted me with today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. Your program’s compliance history was 81% as of December 12, 2023, and was reviewed with you today. I observed your sanitation inspection was dated June 22, 2023, with a superior classification and 4 demerits. I observed your last fire inspection was dated May 16, 2023. I observed adequate supervision, staff/child ratio, maintained, licensed capacity maintained, and approved space during today’s visit. I observed sign-in and sign-out sheets in each classroom. I observed that the sign in sheet was not completed for today 12/13/23 in the 3 and 4 year old classroom. The teacher signed all children in and corrected the sheet during the visit. I observed attendance in all classrooms to be completed for 12/13/23. I observed your Temporary License, Safe Procedure for arrival and departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid Information sheet, Tobacco free policy signage, Summary of NC Child Care Laws dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities indoor and outdoor, small group activities, teacher directed activities, and lunch. I observed the infant teacher holding and feeding a child, diapering, and handwashing procedures. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and there was sufficient quantity of toys in the center areas in all classrooms. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required for supplement food items sent from home. I observed that no new staff have been hired since your second temporary time period visit completed on November 6, 2023. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. I reviewed your Staff and Training worksheet. The visit summary packet was discussed at the end of your visit. On 10/12/2023, Jill Wingler, Director of the ISS Staff Child Care programs, requested to earn a 1 star unrated license at the end of the temporary license. If the Facility has a compliance history of 75% or higher at the end of the temporary license a one star unrated license will be processed as requested. The following violations was observed and cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for the 3's and 4's the arrival times for the children were not completed for 12/13/23. Teacher corrected form and signed in each child that was present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Activity Plan was not completed and posted for the infant classroom. Lesson plan was dated for the first week of November. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two sippy cups in the toddler refrigerator were not labeled with the date. This was corrected by the teacher. 15A NCAC 18A .2804(d) Technical Assistance: 1. Children are to signed in at arrival by parents and signed out at departure by parents. The teacher needs to check and make sure all parents sign their children in at arrival and out at departure. If the parent does not sign the student in it is the teachers duty to sign the child in or out. 2.Lesson plans are to be completed weekly, bi-weekly, or monthly by the classroom teacher. The lesson plans needs to be posted in each classroom the Friday before the following week. Lesson plans need to be posted Monday morning at opening. 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 December 27, 2023. 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 having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. 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 (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

GS 110-91 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 13 Completed Date: 12/13/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Miranda Lester, Lead Teacher, assisted me with today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. Your program’s compliance history was 81% as of December 12, 2023, and was reviewed with you today. I observed your sanitation inspection was dated June 22, 2023, with a superior classification and 4 demerits. I observed your last fire inspection was dated May 16, 2023. I observed adequate supervision, staff/child ratio, maintained, licensed capacity maintained, and approved space during today’s visit. I observed sign-in and sign-out sheets in each classroom. I observed that the sign in sheet was not completed for today 12/13/23 in the 3 and 4 year old classroom. The teacher signed all children in and corrected the sheet during the visit. I observed attendance in all classrooms to be completed for 12/13/23. I observed your Temporary License, Safe Procedure for arrival and departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid Information sheet, Tobacco free policy signage, Summary of NC Child Care Laws dated September 2023, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities indoor and outdoor, small group activities, teacher directed activities, and lunch. I observed the infant teacher holding and feeding a child, diapering, and handwashing procedures. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials accessible to the children and there was sufficient quantity of toys in the center areas in all classrooms. I observed nutrition opt out forms on file for each child. Therefore, the facility is not required for supplement food items sent from home. I observed that no new staff have been hired since your second temporary time period visit completed on November 6, 2023. I observed the outdoor play environment. I observed the equipment and materials to be in good repair. I observed the fence to be of adequate height and in good repair in all areas. I reviewed your Staff and Training worksheet. The visit summary packet was discussed at the end of your visit. On 10/12/2023, Jill Wingler, Director of the ISS Staff Child Care programs, requested to earn a 1 star unrated license at the end of the temporary license. If the Facility has a compliance history of 75% or higher at the end of the temporary license a one star unrated license will be processed as requested. The following violations was observed and cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for the 3's and 4's the arrival times for the children were not completed for 12/13/23. Teacher corrected form and signed in each child that was present. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. Activity Plan was not completed and posted for the infant classroom. Lesson plan was dated for the first week of November. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two sippy cups in the toddler refrigerator were not labeled with the date. This was corrected by the teacher. 15A NCAC 18A .2804(d) Technical Assistance: 1. Children are to signed in at arrival by parents and signed out at departure by parents. The teacher needs to check and make sure all parents sign their children in at arrival and out at departure. If the parent does not sign the student in it is the teachers duty to sign the child in or out. 2.Lesson plans are to be completed weekly, bi-weekly, or monthly by the classroom teacher. The lesson plans needs to be posted in each classroom the Friday before the following week. Lesson plans need to be posted Monday morning at opening. 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 December 27, 2023. 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 having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. 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 (704) 594-0153. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: N.B. MILLS - ISS STAFF CHILDCARE Facility ID: 49000579 Consultant: ERIN PICKARD Operation Type: Center Case Number: Visit Date: 8/30/2023 Number Present: 13 Completed Date: 8/30/2023 Age: From 0 To 4 Total Minutes: 405 Time In: 09:30 AM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. Toni Washington, Child Care Consultant, accompanied me on today’s visit. Currently this center operates with a temporary license issued on July 3, 2023, with the following restrictions: Daytime care only, and children under 2 ½ years old in rooms with direct exits only. A walkthrough of the indoor and outdoor environment was completed. In spaces 1, 2, and 3 children were observed participating in free choice play inside. Infants in space 3 were observed being fed a bottle and napping. Space 1 was observed participating in teacher directed activities and completing handwashing routines. Positive interactions between staff and children was observed. The center's temporary license, NC child care law summary, safe arrival and departure procedures, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, hazardous product storage. The last monthly fire drill was completed on August 4, 2023 at 9:00am. The last lockdown drill was completed on July 20, 2023. The facility has six months for one person to complete playground safety training. Once the training is completed, monthly playground inspections should be completed. The last sanitation inspection was completed on June 22, 2023 with a superior rating and four demerits. The last fire inspection was completed on May 16, 2023. The facility does not provide any food for the children. Parents send all food from home. Each child must have a nutrition opt-out form on file in order for the facility not to be required to supplement the food sent from home. Seven staff files were monitored. Four children’s files were monitored. I discussed the rated license process with Jill Wingler, Prime Time for Kids Director who helps oversee this childcare program. I explained how the facility can earn points towards a star rated license at the end of the temporary license. Program Standards-The facility can choose to have the environmental rating scale completed to earn more points in program standards. Without the environmental rating scale, the facility may earn up to two points in program standards. Education Standards-the points earned will be determined by the education of your Administrator and classroom staff. All staff must have their current education in WORKS. Quality Point-you may earn one additional point by meeting an enhanced requirement listed on the Quality Point options form emailed to you. Please send me what quality point you would like to meet for it to be verified and approved. I emailed you the Application for Assessment for a Two Component Star Rated License today. You stated that you do not want to request to have the environmental rating scale completed. I reminded you that programs that earn less than a three-star license will not be eligible to receive subsidy funding after their temporary license expires. The following violations were observed today. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law. GS 110-102 415 A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023. GS 110-91(12); .0508(a) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date. 15A NCAC 18A .2804(d) 847 Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space 2 had plastic gloves and trash bags stored below five feet. .0604(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy. 10A NCAC 09 .0606(c) 899 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant. GS 110-91 1030 Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member hired on 7/31/23 did not have a medical report completed and on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One new staff member did not have a TB test or screening completed or on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One new staff member hired on 7/31/23 did not have an emergency information form on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment. .1101(a)(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation. .1101(a)(b) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies. 10A NCAC 09 .0514(b) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Two new staff members did not have documentation on file that they received the personnel and operational policies. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information. .0802(c)(2) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy. .1804(b) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Three new staff members did not have documentation of reviewing the EPR plan during orientation. .0607(f) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training. .01102 (f) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction. .0604(j) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(b)(1-6) Technical assistance was given in the following areas: Item#415-The daily schedule must be posted in each classroom for parents to see. If teachers edit the daily schedule, they are encouraged to leave the last daily schedule posted until they replace it with an updated copy. Item#428-I suggested that the lead teachers in each classroom set aside a time to meet and complete activity plans together to ensure that they are completed weekly or monthly, and that they include all the required information. Item#533-All lunch boxes, water bottles, sippy cups, and bottles sent from home should be checked as the children are dropped off to ensure that they are labeled with the child’s name and date. If parents forget to label these items, the teacher must label them properly. Item#847-Staff and parents must follow the centers policies and procedures that state that medications are not allowed unless they are emergency medications. The policies state that diaper creams may be used for a short period of time due to a child having a diaper rash. When diaper creams are needed, the medication forms must be specific naming the exact name of the medication as well as the amount to be used on the child. Item#858-Each morning before children arrive, staff should complete a safety check to ensure there is no plastic stored within children’s reach. Item#859-The facility has not completed a monthly playground safety inspection. These inspections are due to be completed monthly. Item#887-Staff should keep the safe sleep log on a clip board close to the cribs so that when they lay the infant down for a nap, they can document what time they are laid down as well as what time they check on sleeping infants every 15 minutes. Item#893-Parents should complete all required paperwork before being allowed to bring their children to the program, including the safe sleep policy. Item#899-I suggested that staff check with Jill Wingler and their administrator before placing new equipment in the classroom to ensure that it meets requirements. Cribs may not be used unless they meet the federal crib standards. Item#1314-When parents turn in paperwork for their child to attend the program, it must be reviewed for completion. Children’s emergency information, including the health care professional, must be completed on the child’s application. Item#1831-There are two other staff who work at the facility who have completed ITS-SIDS training. One of those staff members must work in the infant classroom until the two new infant teachers complete ITS-SIDS training. Item#1908-Parents should complete all required paperwork before being allowed to bring their children to the program, including the Shaken Baby and Abusive Head Trauma policy. Paperwork should be checked before a child can begin attending the program. Item# 0114, 1325, 1851, and 1203-I suggested that the facility create a sign-off form that lists that parents have received the following documents when enrolling their child: NC Child Care Law, Discipline policy, Smoking and Tobacco restriction, and the Center’s Operational Policies. Item# 1030, 1032, 1033, 1035, 1874- Utilize the staff/training worksheet or the File Checklist for Staff files to ensure that all required paperwork within the required timeframe. Item#1045, 1067, 1825, 1067, 1233- Schedule the new staff orientation to be completed within the first two weeks to include the emergency preparedness plan, emergency medical care plan, and the operational and personnel policies as required. In addition, the remainder of the new staff orientation topics must be completed within the first six weeks of employment. Consultation was provided in the following areas: You must maintain at least a 75% or higher Compliance History to be eligible to apply for a child care license. Your Compliance History will continue to build over an 18-month period. The compliance history is based on violations that are cited during visits to your center. If you have an acceptable compliance history at the end of your six month temporary license you will be eligible to apply for a rated license. You must maintain at least a 75% or higher compliance history to maintain your star license. If your center's compliance history drops below 75% you may receive an administrative action. The Administrator and all staff working in the infant classroom must have current ITS-SIDS training. New staff working in the infant classroom have two months to complete ITS-SIDS training. At all times, one child care provider who has current ITS-SIDS training must be present in the infant room while children are in care. Health and Safety Training must be completed by all staff within one year of employment unless the staff member has completed all health and safety training within one year of employment at your facility and has all training certificates. Recognizing and Responding to Child Maltreatment training must be completed by all staff within 90 days of employment. CPR and First Aid training must be completed by all staff within 90 days of employment. Ensure that CPR and First Aid training is taken in-person, by an approved trainer and training agency, as well as the type of training is Pediatric or Infant/Child CPR and First Aid training. New staff must have a current criminal background check, medical exam, and TB test or TB screening completed prior to employment. Federal law requires that an employer keep all medical information confidential and in separate medical files. Any staff medical statements, any proof of tuberculosis test or screening, and any completed health questionnaires must be included in a staff member's medical file, which must be maintained separately from that staff member's individual personnel file. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 9/13/23, stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to Erin.Pickard@dhhs.nc.gov or P.O. Box 971, Kannapolis, NC 28082. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A https://www.msn.com/en-us/feedNCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. Contact me at erin.pickard@dhhs.nc.gov or 704-594-0153 or Kris Updike, Licensing Supervisor at kris.updike@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times