THE Lemonade Stand Child Care & Preschool

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0126-134L Visit Date: 1/21/2026 Number Present: 65 Completed Date: 1/21/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was follow-up on the concerns regarding the self-reported information shared with the Division of Child Development and Early Education on January 14, 2026. Dorothy Boles, Director, and Kaylan Nwonye, Owner, assisted me with today’s visit. It was reported that on January 7, 2026, a parent had reached out after operating hours with concerns regarding their child having a scratch via the ProCare app. Ms. Nwonye, corresponded with the parent about the allegations and informed the parent that camera footage will be reviewed the following business day. Administrative staff reviewed camera footage and did not see signs of the child being scratched. It was reported that during review of the camera footage, the alleged staff member was observed handling a child roughly and using harsh tones. The video footage was shown to the parent. It was reported that the staff member regarding this incident was terminated on January 8, 2026 During today’s visit, camera footage was reviewed for January 7, 2026. The classroom caring for children three and four years of age was observed transitioning from lunch to rest time. One staff member was observed in the bathroom assisting children and another was observed cleaning up from lunch and children were preparing for rest time. One child was observed to be moving about the classroom frequently. Around the 12:11pm timestamp, a staff member is observed grabbing the child from behind, under the arms, and roughly placing the child on their cot. The child gets up from the cot and moves about the room. The staff member grabs the child by the bicep and guides the child to their cot. Around the 12:17pm timestamp, the staff member is observed grabbing the child and guides the child to their cot and roughly places the child down. The child is standing on the cot when the staff member pulls the child’s blanket out from under the child’s feet, causing the child to fall. The staff member places the child’s blanket on a high shelf, inaccessible to the child. The child is observed to be crying asking for their blanket. The staff member is heard stating to the child throughout the footage, in a harsh tone, “learn how to listen”, “get on your cot now”, “you are racking my nerves”, threatening to call to the child’s parent, and threatening to throw the child’s blanket away. At the 12:19pm timestamp, the staff member removes the blanket from the high shelf, takes it to the child’s cot, and throws the blanket to the child. At the 12:28pm timestamp, the other staff member has a conversation with the child. At the 12:29pm timestamp, the staff member states to the other staff member that the child has something to say. The child walks over to the staff member and the staff member says “what (child’s name)” in a negative tone. The child apologizes to the staff member, the staff member gives the child a hug, and then the staff member proceeds to the child’s cot and covers them up for rest time at 12:30pm. It was reported that the facility revised the discipline policy on January 2, 2026. A staff meeting was held with all staff on January 15, 2026, to review and acknowledge the revised policy. Based on the information provided there were sixty-five children ages zero to five present during today's visit. The following violation was documented during today’s visit: Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. A staff member was observed twice grabbing a child roughly, by the arms, and placing them on their cot. A staff member was observed pulling a blanket out from under a child causing them to fall down. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member was observed saying in a harsh tone “learn how to listen”, “get on your cot now”, “you are racking my nerves”, and threatening to call to the child’s parent, and threatening to throw the child’s blanket away. .1803(a)(9) Technical Assistance was provided on the following: • It is recommended that the discipline policy be reviewed with staff annually and as changes occur. • It is recommended that modeling practices be implemented in the classroom by administrative staff. • It is recommended that administrative staff conduct monthly observations and provide feedback to staff. • The facility can contact Jennifer Peterson at the Iredell County Partnership for Young Children for training opportunities regarding discipline and managing stress in the classroom. • It is recommended that staff get children transitioned for rest time prior to cleaning duties from lunch. This will allow the classroom to be settled for all children and staff can proceed with cleaning and toileting routines. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 4, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1225-182L Visit Date: 12/29/2025 Number Present: 47 Completed Date: 12/29/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Kaylan Nwonye, Owner, and Desmond Caldwell, Administrative Assistant, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. There are allegations of violations of child care requirements including discipline, supervision, sanitation and health, and unsafe environment. Children were observed during rest time, quiet activities, and toileting and handwashing routines. Infants were observed receiving care according to their individual needs. Video footage was also reviewed during today’s visit for December 5, 2025. From the 4:33:26 to 4:35:16 timestamp, a staff member was observed to have two children present in the classroom. One child is sitting at a table, and the staff member takes the other child with them out of the room. The staff member appears back in the room to grab a laundry basket and walks out of the room again, leaving the child at the table. The staff member then comes back to the room with a vacuum cleaner. I spoke with you and asked if you had any concerns regarding discipline, supervision, sanitation and health, and unsafe environment. Regarding discipline and the handling of children. You stated that you did not have any concerns. You stated that any concerns brought to administrative staffs’ attention from staff or parents is addressed immediately. You stated that you are not aware of any children being handled roughly or staff using harsh tones. Regarding supervision, you stated that there was a staff member who stepped out of the room to go to the laundry room and left a child. It was reported that administrative staff met to discuss this matter and the staff member was suspended. You stated that the staff member does have a language barrier and did not understand the severity of leaving a child unsupervised. The staff member did have disciplinary action and was suspended for two days. Staff are required to be moving about spaces to ensure that all children are safe and accounted for. You stated that the facility always remains in ratio during operating hours. Regarding sanitation and health, you stated that staff use the ProCare app to document events that occur throughout the day. This report is available for parents to view in real time. You stated that children are changed every two hours or when they are soiled. All classrooms have an alarm that goes off every two hours to also check and change children. Regarding an unsafe environment, you stated that there was an incident where a child was dropped. This occurred due to the staff member trying to calm other children that were in the diaper changing area while finishing up with another child. The child’s parent walked into the classroom and observed the staff member consoling the child and the parent stated that it was an accident. An incident report was completed for the child. I interviewed a selection of staff members during today’s visit. Staff were asked if they had any concerns regarding discipline, supervision, sanitation and health, and children’s records. Regarding discipline, it was reported that staff have not observed any children being handled in a rough manner. Staff stated that the facility has a discipline policy that is enforced, they use positive redirection and reset for children. Children are removed from a situation and given time to reset according to their age. Staff have not witnessed harsh tones being used with children in the facility. Regarding supervision, it was reported that staff monitor indoor and outdoor spaces by moving about frequently. Staff also engage with children and count to ensure that all children are accounted for and are safe. One staff member reported that they are not aware of any children being left unsupervised. It was reported that if staff need to leave their room and they are alone, they will reach out to administrative staff to assist. Regarding sanitation and health, it was reported that children are changed every two hours, unless soiled prior to that. Diaper changes are logged in the ProCare app for families to view. It was reported that classrooms are actively potty-training children. All iPads have alarms as reminders to check all children every two hours. Regarding an unsafe environment, staff were aware of an incident where a child was dropped. One staff member was present in the room attending to other children when this occurred. It was reported that the child’s parent walked into the classroom and observed the staff member consoling the child. An incident report was completed for the child. I was unable to confirm the allegation based on information received from observations, interviewed staff during today’s visit. Therefore, the allegation regarding discipline was unsubstantiated. I was able to confirm the allegation based on information received from interviewed staff and video footage, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding supervision was substantiated. I was unable to confirm the allegation based on information received from observations, interviewed staff, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding sanitation and health was unsubstantiated. I was unable to confirm the allegation based on information received from observations, interviewed staff, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding an unsafe environment was unsubstantiated Based on the information provided, there were forty-seven children ages zero to five present during today’s visit. 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 base the substantiation of supervision. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On December 5, 2025, one child two years of age was left alone in a classroom for approximately two minutes while the staff member walked in and out of the classroom to retrieve items from the laundry room .1801(a)(1-5) Technical Assistance was provided on the following: • We discussed reviewing the facility’s supervision policy with all staff to ensure that they are aware of and understand the policy. Children should be supervised at all times. If a staff member should leave the classroom, all children should be taken with the staff member. If staff are traveling to an area where children are prohibited, staff should contact administrative staff or other staff members for assistance. • Child Care Rule 10A NCAC 09 .1801(a)(1-5) states children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. • It is recommended to reach out to Jennifer Peterson, Professional Development Specialist with the Iredell County Partnership for Young Children by email at jpeterson@icpyc.org or by phone at 704-380-3871 for training opportunities regarding supervision. Consultation was provided on the following: • While documenting infant diapering and feedings are not a child care requirement, it is recommended that staff have an alternative visual to track children’s diapering and feedings throughout the day. This could be a whiteboard on the wall in the classroom or staff documenting these items on a daily report sheet that is provided to parents at the end of the day. • It is recommended to reach out to Rachel Lentz, Child Care Health Consultant by email at rlentz@unc.edu or by phone 828-544-1532 for training opportunities regarding health and safety policies and practices. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1225-182L Visit Date: 12/29/2025 Number Present: 47 Completed Date: 12/29/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Kaylan Nwonye, Owner, and Desmond Caldwell, Administrative Assistant, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. There are allegations of violations of child care requirements including discipline, supervision, sanitation and health, and unsafe environment. Children were observed during rest time, quiet activities, and toileting and handwashing routines. Infants were observed receiving care according to their individual needs. Video footage was also reviewed during today’s visit for December 5, 2025. From the 4:33:26 to 4:35:16 timestamp, a staff member was observed to have two children present in the classroom. One child is sitting at a table, and the staff member takes the other child with them out of the room. The staff member appears back in the room to grab a laundry basket and walks out of the room again, leaving the child at the table. The staff member then comes back to the room with a vacuum cleaner. I spoke with you and asked if you had any concerns regarding discipline, supervision, sanitation and health, and unsafe environment. Regarding discipline and the handling of children. You stated that you did not have any concerns. You stated that any concerns brought to administrative staffs’ attention from staff or parents is addressed immediately. You stated that you are not aware of any children being handled roughly or staff using harsh tones. Regarding supervision, you stated that there was a staff member who stepped out of the room to go to the laundry room and left a child. It was reported that administrative staff met to discuss this matter and the staff member was suspended. You stated that the staff member does have a language barrier and did not understand the severity of leaving a child unsupervised. The staff member did have disciplinary action and was suspended for two days. Staff are required to be moving about spaces to ensure that all children are safe and accounted for. You stated that the facility always remains in ratio during operating hours. Regarding sanitation and health, you stated that staff use the ProCare app to document events that occur throughout the day. This report is available for parents to view in real time. You stated that children are changed every two hours or when they are soiled. All classrooms have an alarm that goes off every two hours to also check and change children. Regarding an unsafe environment, you stated that there was an incident where a child was dropped. This occurred due to the staff member trying to calm other children that were in the diaper changing area while finishing up with another child. The child’s parent walked into the classroom and observed the staff member consoling the child and the parent stated that it was an accident. An incident report was completed for the child. I interviewed a selection of staff members during today’s visit. Staff were asked if they had any concerns regarding discipline, supervision, sanitation and health, and children’s records. Regarding discipline, it was reported that staff have not observed any children being handled in a rough manner. Staff stated that the facility has a discipline policy that is enforced, they use positive redirection and reset for children. Children are removed from a situation and given time to reset according to their age. Staff have not witnessed harsh tones being used with children in the facility. Regarding supervision, it was reported that staff monitor indoor and outdoor spaces by moving about frequently. Staff also engage with children and count to ensure that all children are accounted for and are safe. One staff member reported that they are not aware of any children being left unsupervised. It was reported that if staff need to leave their room and they are alone, they will reach out to administrative staff to assist. Regarding sanitation and health, it was reported that children are changed every two hours, unless soiled prior to that. Diaper changes are logged in the ProCare app for families to view. It was reported that classrooms are actively potty-training children. All iPads have alarms as reminders to check all children every two hours. Regarding an unsafe environment, staff were aware of an incident where a child was dropped. One staff member was present in the room attending to other children when this occurred. It was reported that the child’s parent walked into the classroom and observed the staff member consoling the child. An incident report was completed for the child. I was unable to confirm the allegation based on information received from observations, interviewed staff during today’s visit. Therefore, the allegation regarding discipline was unsubstantiated. I was able to confirm the allegation based on information received from interviewed staff and video footage, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding supervision was substantiated. I was unable to confirm the allegation based on information received from observations, interviewed staff, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding sanitation and health was unsubstantiated. I was unable to confirm the allegation based on information received from observations, interviewed staff, and disciplinary slips reviewed during today’s visit. Therefore, the allegation regarding an unsafe environment was unsubstantiated Based on the information provided, there were forty-seven children ages zero to five present during today’s visit. 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 base the substantiation of supervision. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On December 5, 2025, one child two years of age was left alone in a classroom for approximately two minutes while the staff member walked in and out of the classroom to retrieve items from the laundry room .1801(a)(1-5) Technical Assistance was provided on the following: • We discussed reviewing the facility’s supervision policy with all staff to ensure that they are aware of and understand the policy. Children should be supervised at all times. If a staff member should leave the classroom, all children should be taken with the staff member. If staff are traveling to an area where children are prohibited, staff should contact administrative staff or other staff members for assistance. • Child Care Rule 10A NCAC 09 .1801(a)(1-5) states children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. • It is recommended to reach out to Jennifer Peterson, Professional Development Specialist with the Iredell County Partnership for Young Children by email at jpeterson@icpyc.org or by phone at 704-380-3871 for training opportunities regarding supervision. Consultation was provided on the following: • While documenting infant diapering and feedings are not a child care requirement, it is recommended that staff have an alternative visual to track children’s diapering and feedings throughout the day. This could be a whiteboard on the wall in the classroom or staff documenting these items on a daily report sheet that is provided to parents at the end of the day. • It is recommended to reach out to Rachel Lentz, Child Care Health Consultant by email at rlentz@unc.edu or by phone 828-544-1532 for training opportunities regarding health and safety policies and practices. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 12, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 69 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Dorothy Boles, Director, assisted me with today’s visit. Toni Washington, Child Care Consultant, accompanied me on today's visit. The last annual compliance visit was conducted on December 10, 2024. The program’s compliance history was ninety-one percent prior to today’s visit. The last sanitation inspection was completed on October 21, 2024, with a superior classification. The last fire inspection was completed on January 6, 2025. The center's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, and lunch. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on September 16, 2025. The last lockdown drill was completed on September 30, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 10, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children's files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water testing. The facility has enrolled in lead paint and asbestos testing with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system, however the roster is not being maintained. The following violations were documented today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 7, children did not wash their hands after returning from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 6, a staff member did not wash hands between diaper changes. In space 7, staff did not wash their hands when returning from outdoor play. 15A NCAC 18A .2803(a) 721 All equipment and furnishings were not in good repair. On playground 1, the red climber had areas with chipping paint. The fence between playground 2 and playground 3, the top of the fencing was detached from the bar in several areas. On playground 5, the house has chipping paint and the swing has chipping wood. On playground 4, the stationary equipment has chipping paint. G.S. 110-91(6); .0601(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS does not have all employees listed. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed that the provider portal should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. 2. We discussed reviewing the diapering and handwashing procedures with all staff to ensure that these procedures are being followed. You may contact Rachel Lentz, Child Care Health Consultant, by email at rlentz@unc.edu or by phone at 828-544-1532 for health and sanitation training opportunities. 3. We discussed that although outdoor inspections are required to be documented monthly, staff should be checking the playgrounds daily to ensure that materials are in good repair, free of rust, chipping paint, etc. It is recommended that staff conduct a walkthrough of their classrooms prior to caring for children to ensure that materials of sufficient quantity and materials and equipment is in good repair. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating a document that indicates how often children receive topical ointment for all rooms for easy reference in the diaper changing areas. • Although gloves are not required when completing diaper changes, best practice is to change gloves between each child’s diaper being changed and follow the proper handwashing procedures. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 69 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Dorothy Boles, Director, assisted me with today’s visit. Toni Washington, Child Care Consultant, accompanied me on today's visit. The last annual compliance visit was conducted on December 10, 2024. The program’s compliance history was ninety-one percent prior to today’s visit. The last sanitation inspection was completed on October 21, 2024, with a superior classification. The last fire inspection was completed on January 6, 2025. The center's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, and lunch. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on September 16, 2025. The last lockdown drill was completed on September 30, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 10, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children's files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water testing. The facility has enrolled in lead paint and asbestos testing with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system, however the roster is not being maintained. The following violations were documented today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 7, children did not wash their hands after returning from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 6, a staff member did not wash hands between diaper changes. In space 7, staff did not wash their hands when returning from outdoor play. 15A NCAC 18A .2803(a) 721 All equipment and furnishings were not in good repair. On playground 1, the red climber had areas with chipping paint. The fence between playground 2 and playground 3, the top of the fencing was detached from the bar in several areas. On playground 5, the house has chipping paint and the swing has chipping wood. On playground 4, the stationary equipment has chipping paint. G.S. 110-91(6); .0601(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS does not have all employees listed. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed that the provider portal should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. 2. We discussed reviewing the diapering and handwashing procedures with all staff to ensure that these procedures are being followed. You may contact Rachel Lentz, Child Care Health Consultant, by email at rlentz@unc.edu or by phone at 828-544-1532 for health and sanitation training opportunities. 3. We discussed that although outdoor inspections are required to be documented monthly, staff should be checking the playgrounds daily to ensure that materials are in good repair, free of rust, chipping paint, etc. It is recommended that staff conduct a walkthrough of their classrooms prior to caring for children to ensure that materials of sufficient quantity and materials and equipment is in good repair. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating a document that indicates how often children receive topical ointment for all rooms for easy reference in the diaper changing areas. • Although gloves are not required when completing diaper changes, best practice is to change gloves between each child’s diaper being changed and follow the proper handwashing procedures. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 69 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:45 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Dorothy Boles, Director, assisted me with today’s visit. Toni Washington, Child Care Consultant, accompanied me on today's visit. The last annual compliance visit was conducted on December 10, 2024. The program’s compliance history was ninety-one percent prior to today’s visit. The last sanitation inspection was completed on October 21, 2024, with a superior classification. The last fire inspection was completed on January 6, 2025. The center's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, and lunch. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on September 16, 2025. The last lockdown drill was completed on September 30, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 10, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children's files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water testing. The facility has enrolled in lead paint and asbestos testing with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system, however the roster is not being maintained. The following violations were documented today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 7, children did not wash their hands after returning from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 6, a staff member did not wash hands between diaper changes. In space 7, staff did not wash their hands when returning from outdoor play. 15A NCAC 18A .2803(a) 721 All equipment and furnishings were not in good repair. On playground 1, the red climber had areas with chipping paint. The fence between playground 2 and playground 3, the top of the fencing was detached from the bar in several areas. On playground 5, the house has chipping paint and the swing has chipping wood. On playground 4, the stationary equipment has chipping paint. G.S. 110-91(6); .0601(b) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS does not have all employees listed. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed that the provider portal should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. 2. We discussed reviewing the diapering and handwashing procedures with all staff to ensure that these procedures are being followed. You may contact Rachel Lentz, Child Care Health Consultant, by email at rlentz@unc.edu or by phone at 828-544-1532 for health and sanitation training opportunities. 3. We discussed that although outdoor inspections are required to be documented monthly, staff should be checking the playgrounds daily to ensure that materials are in good repair, free of rust, chipping paint, etc. It is recommended that staff conduct a walkthrough of their classrooms prior to caring for children to ensure that materials of sufficient quantity and materials and equipment is in good repair. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating a document that indicates how often children receive topical ointment for all rooms for easy reference in the diaper changing areas. • Although gloves are not required when completing diaper changes, best practice is to change gloves between each child’s diaper being changed and follow the proper handwashing procedures. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 5, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 8 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Dorothy Boles, Director, assisted me with today’s visit. Toni Washington, Child Care Consultant, accompanied me on today's visit. The last annual compliance visit was conducted on December 10, 2024. The last sanitation inspection was completed on October 21, 2024, with a “Superior” classification. The last fire inspection was completed on January 6, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety- three percent prior to today’s visit. The center's star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, Father’s Day crafts, outdoor play, toileting and handwashing routines. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 3, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 17, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on June 3, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was not logged for individual classrooms using the multipurpose room. In space 3, whole group screen time was not documented. .0510(d)(2)(A-C) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls, sink cabinets, and cabinet ledges throughout were not kept clean. 15A NCAC 18A .2825(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/14/24 First Aid expired on 1/31/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 5/14/24 CPR expired on 1/31/25. .1102(d) 1887 Each infant was not served only bottles labeled with their individual name. In space 4, one child's water bottle was not labeled. In space 3, four children's water bottles were not labeled. In space 2, five children's water bottles were not labeled. In space 5, five children's bottles were not labeled. .0902(d) Technical Assistance was provided on the following: 1. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. 2. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 3. We discussed putting a clipboard in the multipurpose room for each classroom to document their individual screen time. This will be a direct reminder for staff to log their screen time when it is being provided. Staff can document screen time in their classroom on their activity plans if it is a whole group activity. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/10/2025 Number Present: 80 Completed Date: 6/10/2025 Age: From 0 To 8 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Dorothy Boles, Director, assisted me with today’s visit. Toni Washington, Child Care Consultant, accompanied me on today's visit. The last annual compliance visit was conducted on December 10, 2024. The last sanitation inspection was completed on October 21, 2024, with a “Superior” classification. The last fire inspection was completed on January 6, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety- three percent prior to today’s visit. The center's star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, Father’s Day crafts, outdoor play, toileting and handwashing routines. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 3, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 17, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on June 3, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Screen time was not logged for individual classrooms using the multipurpose room. In space 3, whole group screen time was not documented. .0510(d)(2)(A-C) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls, sink cabinets, and cabinet ledges throughout were not kept clean. 15A NCAC 18A .2825(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 5/14/24 First Aid expired on 1/31/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 5/14/24 CPR expired on 1/31/25. .1102(d) 1887 Each infant was not served only bottles labeled with their individual name. In space 4, one child's water bottle was not labeled. In space 3, four children's water bottles were not labeled. In space 2, five children's water bottles were not labeled. In space 5, five children's bottles were not labeled. .0902(d) Technical Assistance was provided on the following: 1. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. 2. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 3. We discussed putting a clipboard in the multipurpose room for each classroom to document their individual screen time. This will be a direct reminder for staff to log their screen time when it is being provided. Staff can document screen time in their classroom on their activity plans if it is a whole group activity. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 24, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 85 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Dorothy Boles, Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 4, 2024. The last sanitation inspection was completed on October 21, 2024, with a “Superior” classification. The last fire inspection was conducted January 16, 2024, and your facility was approved for daytime care only. The NC Secretary of State website was reviewed prior to today’s visit. Your corporation Sister 2 Sister, Inc. was listed as current-active. The center's compliance history was reviewed with the operator. The program’s compliance history was 91 percent prior to today’s visit. The center's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed art activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on November 18, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 26, 2024. Your playgrounds meet child care safety standards. The last playground inspections were completed on November 22, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violation was documented today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 5, a prescribed medication was not in its original packaging. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 5, a topical ointment expired 9/2024. .0803(12) Technical Assistance was provided on the following: 1. We discussed that when staff receive topical ointments or medications that administrative staff review the documentation and medications to ensure that all are in compliance with childcare rules. Topical ointments and medications must have a permission to administer form on file. The facility has 72 hours to return to discard topical ointments and/or medications that expire or their permission to administer forms that expires. 2. We discussed that staff review ointments to ensure that they are not labeled “Rx Only” when they are brought into the facility. Medications and/or ointments that are labeled “Rx Only” should be in the original pharmacy box with the prescription information attached. Consultation was provided on the following: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Fire inspections should be completed on or before the day of the current inspection. Please ensure that inspections are completed on the Adult Day Care & Child Care Fire Inspection form. Please send a copy of the inspection to your consultant within 7 days of receiving your fire inspection. • Child Care Rule .0601 (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. Lead water testing is required to be completed every three years. • We discussed that staff working with school age children should receive BSAC training within 3 months of assuming the role. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 85 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Dorothy Boles, Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 4, 2024. The last sanitation inspection was completed on October 21, 2024, with a “Superior” classification. The last fire inspection was conducted January 16, 2024, and your facility was approved for daytime care only. The NC Secretary of State website was reviewed prior to today’s visit. Your corporation Sister 2 Sister, Inc. was listed as current-active. The center's compliance history was reviewed with the operator. The program’s compliance history was 91 percent prior to today’s visit. The center's five-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, teacher directed art activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on November 18, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on September 26, 2024. Your playgrounds meet child care safety standards. The last playground inspections were completed on November 22, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violation was documented today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 5, a prescribed medication was not in its original packaging. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 5, a topical ointment expired 9/2024. .0803(12) Technical Assistance was provided on the following: 1. We discussed that when staff receive topical ointments or medications that administrative staff review the documentation and medications to ensure that all are in compliance with childcare rules. Topical ointments and medications must have a permission to administer form on file. The facility has 72 hours to return to discard topical ointments and/or medications that expire or their permission to administer forms that expires. 2. We discussed that staff review ointments to ensure that they are not labeled “Rx Only” when they are brought into the facility. Medications and/or ointments that are labeled “Rx Only” should be in the original pharmacy box with the prescription information attached. Consultation was provided on the following: • As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. o The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. o Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • Fire inspections should be completed on or before the day of the current inspection. Please ensure that inspections are completed on the Adult Day Care & Child Care Fire Inspection form. Please send a copy of the inspection to your consultant within 7 days of receiving your fire inspection. • Child Care Rule .0601 (f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. Lead water testing is required to be completed every three years. • We discussed that staff working with school age children should receive BSAC training within 3 months of assuming the role. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 83 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:50 AM Time Out: 03:20 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, Dorothy Boles, Director, assisted me with the visit. Your facility, owned by Sister 4 Sister, INC., was listed as current-active as viewed on the North Carolina Secretary of State website prior to today’s visit. The last annual compliance visit was conducted on February 9, 2023. The last sanitation inspection was completed on September 7, 2023, with a “Superior” classification. The last fire inspection was conducted January 24, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent as of January 3, 2024. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, allergies, evacuation plans, daily schedules, and activity plans posted as required. I observed children adequately supervised, enhanced staff-child ratios, and adequate approved space used during today’s visit. I observed permit restrictions including “daytime care only”, “enhanced space”, “enhanced ratios”, and “children under 2 ½ years old in rooms with direct exits only” maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher-directed small group and whole group activities, gross motor play, and lunch. Lunch consisted of a turkey and cheese sub, corn, apple slices, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I monitored your outdoor play spaces for general safety today. I observed thirty-one topical ointments stored in locked storage. I observed one emergency prescription medication. I observed these permission to administer forms to be current and in compliance. I observed your Incident Log to be current and up to date as required. Incident reports are filed in children’s individual files. I observed a kiosk located at the entrance of the facility for parents to sign children in and out. I observed sign in and out sheets located at the entrance of your facility for parents to sign children in if the kiosk was not working. All children present today signed in. I received a printout of today’s sign in and out from the electronic kiosk. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log was dated December 15, 2023, at 9:07am with three minutes and fifty-three minutes to evacuate. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. I observed the last emergency drill documented on this log was a lockdown dated November 9, 2023, at 4:58pm with three minutes and fifty-three seconds to lockdown. I monitored a selection of children’s files today. No violations were observed regarding children’s files. I monitored eleven new staff files that have been hired since your last ACV was completed on February 9, 2023. I monitored two existing staff files during today’s visit. You stated that you do not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 9 and space 10, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. I observed cabinets and sink areas to show visible dirt and milk spills throughout the facility. On playground 4, I observed the play structure to have chipping paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The facility's hallway was missing Electrical Outlet safety covers. A staff member placed safety covers in these outlets during today's visit. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the outdoor playgrounds, I observed several pieces of fencing with gaps between the fence and the ground. I observed protrusions from the fencing on multiple playgrounds. On playground 1, I observed the outside of the fence to measure 3ft 5in. GS 110-91(6); .0605((i) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, a topical ointment expired 12/2023. The topical ointment was discarded during the visit. .0803(12) 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. In space 8, plastic bags and plastic gloves were stored on a shelf below five feet in the restroom. A staff member placed these items above 5 feet during the visit. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 9/5/23 did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. A staff member was left alone with children in space 5. G.S. 110-90.2(b) & .2703(f) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that topical ointments that have expired should be returned to the parent or discarded within 72 hours. 2. We discussed that when a staff member lives out of state, sometimes a provisional criminal background check is issued while DCDEE waits on information from the other state. When a provisional criminal background check is issued, the staff member can be employed, but they may not be alone with children until they receive a valid criminal background check qualification letter stating that they can work with children. 3. We discussed that items that are considered choking hazards such as small objects, plastic bags, and plastic gloves; should be stored 5 feet or higher or stored in locked storage in classrooms for children three years of age and younger. 4. We discussed doing a walkthrough of the facility prior to caring for children to ensure that all electrical outlets are covered with safety covers. 5. We discussed that cabinets, walls, soap dispensers, etc. should be clean and free of visible dirt. 6. We discussed that infant feeding plans for infants fifteen months and younger should be posted. 7. We discussed that play structures should be free of chipping paint. 8. We discussed ensuring that staff files have all applicable documents on file for review. The following Consultation was provided during today’s visit: 1. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook and have parents sign that they have received the updated version. 2. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, is your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 3. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 4. We discussed adding more books to space 7 for children to engage with. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 83 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:50 AM Time Out: 03:20 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, Dorothy Boles, Director, assisted me with the visit. Your facility, owned by Sister 4 Sister, INC., was listed as current-active as viewed on the North Carolina Secretary of State website prior to today’s visit. The last annual compliance visit was conducted on February 9, 2023. The last sanitation inspection was completed on September 7, 2023, with a “Superior” classification. The last fire inspection was conducted January 24, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent as of January 3, 2024. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, allergies, evacuation plans, daily schedules, and activity plans posted as required. I observed children adequately supervised, enhanced staff-child ratios, and adequate approved space used during today’s visit. I observed permit restrictions including “daytime care only”, “enhanced space”, “enhanced ratios”, and “children under 2 ½ years old in rooms with direct exits only” maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher-directed small group and whole group activities, gross motor play, and lunch. Lunch consisted of a turkey and cheese sub, corn, apple slices, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I monitored your outdoor play spaces for general safety today. I observed thirty-one topical ointments stored in locked storage. I observed one emergency prescription medication. I observed these permission to administer forms to be current and in compliance. I observed your Incident Log to be current and up to date as required. Incident reports are filed in children’s individual files. I observed a kiosk located at the entrance of the facility for parents to sign children in and out. I observed sign in and out sheets located at the entrance of your facility for parents to sign children in if the kiosk was not working. All children present today signed in. I received a printout of today’s sign in and out from the electronic kiosk. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log was dated December 15, 2023, at 9:07am with three minutes and fifty-three minutes to evacuate. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. I observed the last emergency drill documented on this log was a lockdown dated November 9, 2023, at 4:58pm with three minutes and fifty-three seconds to lockdown. I monitored a selection of children’s files today. No violations were observed regarding children’s files. I monitored eleven new staff files that have been hired since your last ACV was completed on February 9, 2023. I monitored two existing staff files during today’s visit. You stated that you do not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 9 and space 10, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. I observed cabinets and sink areas to show visible dirt and milk spills throughout the facility. On playground 4, I observed the play structure to have chipping paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The facility's hallway was missing Electrical Outlet safety covers. A staff member placed safety covers in these outlets during today's visit. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the outdoor playgrounds, I observed several pieces of fencing with gaps between the fence and the ground. I observed protrusions from the fencing on multiple playgrounds. On playground 1, I observed the outside of the fence to measure 3ft 5in. GS 110-91(6); .0605((i) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, a topical ointment expired 12/2023. The topical ointment was discarded during the visit. .0803(12) 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. In space 8, plastic bags and plastic gloves were stored on a shelf below five feet in the restroom. A staff member placed these items above 5 feet during the visit. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 9/5/23 did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. A staff member was left alone with children in space 5. G.S. 110-90.2(b) & .2703(f) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that topical ointments that have expired should be returned to the parent or discarded within 72 hours. 2. We discussed that when a staff member lives out of state, sometimes a provisional criminal background check is issued while DCDEE waits on information from the other state. When a provisional criminal background check is issued, the staff member can be employed, but they may not be alone with children until they receive a valid criminal background check qualification letter stating that they can work with children. 3. We discussed that items that are considered choking hazards such as small objects, plastic bags, and plastic gloves; should be stored 5 feet or higher or stored in locked storage in classrooms for children three years of age and younger. 4. We discussed doing a walkthrough of the facility prior to caring for children to ensure that all electrical outlets are covered with safety covers. 5. We discussed that cabinets, walls, soap dispensers, etc. should be clean and free of visible dirt. 6. We discussed that infant feeding plans for infants fifteen months and younger should be posted. 7. We discussed that play structures should be free of chipping paint. 8. We discussed ensuring that staff files have all applicable documents on file for review. The following Consultation was provided during today’s visit: 1. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook and have parents sign that they have received the updated version. 2. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, is your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 3. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 4. We discussed adding more books to space 7 for children to engage with. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 83 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:50 AM Time Out: 03:20 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, Dorothy Boles, Director, assisted me with the visit. Your facility, owned by Sister 4 Sister, INC., was listed as current-active as viewed on the North Carolina Secretary of State website prior to today’s visit. The last annual compliance visit was conducted on February 9, 2023. The last sanitation inspection was completed on September 7, 2023, with a “Superior” classification. The last fire inspection was conducted January 24, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent as of January 3, 2024. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, allergies, evacuation plans, daily schedules, and activity plans posted as required. I observed children adequately supervised, enhanced staff-child ratios, and adequate approved space used during today’s visit. I observed permit restrictions including “daytime care only”, “enhanced space”, “enhanced ratios”, and “children under 2 ½ years old in rooms with direct exits only” maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher-directed small group and whole group activities, gross motor play, and lunch. Lunch consisted of a turkey and cheese sub, corn, apple slices, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I monitored your outdoor play spaces for general safety today. I observed thirty-one topical ointments stored in locked storage. I observed one emergency prescription medication. I observed these permission to administer forms to be current and in compliance. I observed your Incident Log to be current and up to date as required. Incident reports are filed in children’s individual files. I observed a kiosk located at the entrance of the facility for parents to sign children in and out. I observed sign in and out sheets located at the entrance of your facility for parents to sign children in if the kiosk was not working. All children present today signed in. I received a printout of today’s sign in and out from the electronic kiosk. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log was dated December 15, 2023, at 9:07am with three minutes and fifty-three minutes to evacuate. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. I observed the last emergency drill documented on this log was a lockdown dated November 9, 2023, at 4:58pm with three minutes and fifty-three seconds to lockdown. I monitored a selection of children’s files today. No violations were observed regarding children’s files. I monitored eleven new staff files that have been hired since your last ACV was completed on February 9, 2023. I monitored two existing staff files during today’s visit. You stated that you do not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 9 and space 10, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. I observed cabinets and sink areas to show visible dirt and milk spills throughout the facility. On playground 4, I observed the play structure to have chipping paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The facility's hallway was missing Electrical Outlet safety covers. A staff member placed safety covers in these outlets during today's visit. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the outdoor playgrounds, I observed several pieces of fencing with gaps between the fence and the ground. I observed protrusions from the fencing on multiple playgrounds. On playground 1, I observed the outside of the fence to measure 3ft 5in. GS 110-91(6); .0605((i) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, a topical ointment expired 12/2023. The topical ointment was discarded during the visit. .0803(12) 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. In space 8, plastic bags and plastic gloves were stored on a shelf below five feet in the restroom. A staff member placed these items above 5 feet during the visit. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 9/5/23 did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. A staff member was left alone with children in space 5. G.S. 110-90.2(b) & .2703(f) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that topical ointments that have expired should be returned to the parent or discarded within 72 hours. 2. We discussed that when a staff member lives out of state, sometimes a provisional criminal background check is issued while DCDEE waits on information from the other state. When a provisional criminal background check is issued, the staff member can be employed, but they may not be alone with children until they receive a valid criminal background check qualification letter stating that they can work with children. 3. We discussed that items that are considered choking hazards such as small objects, plastic bags, and plastic gloves; should be stored 5 feet or higher or stored in locked storage in classrooms for children three years of age and younger. 4. We discussed doing a walkthrough of the facility prior to caring for children to ensure that all electrical outlets are covered with safety covers. 5. We discussed that cabinets, walls, soap dispensers, etc. should be clean and free of visible dirt. 6. We discussed that infant feeding plans for infants fifteen months and younger should be posted. 7. We discussed that play structures should be free of chipping paint. 8. We discussed ensuring that staff files have all applicable documents on file for review. The following Consultation was provided during today’s visit: 1. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook and have parents sign that they have received the updated version. 2. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, is your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 3. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 4. We discussed adding more books to space 7 for children to engage with. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 83 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:50 AM Time Out: 03:20 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, Dorothy Boles, Director, assisted me with the visit. Your facility, owned by Sister 4 Sister, INC., was listed as current-active as viewed on the North Carolina Secretary of State website prior to today’s visit. The last annual compliance visit was conducted on February 9, 2023. The last sanitation inspection was completed on September 7, 2023, with a “Superior” classification. The last fire inspection was conducted January 24, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent as of January 3, 2024. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, allergies, evacuation plans, daily schedules, and activity plans posted as required. I observed children adequately supervised, enhanced staff-child ratios, and adequate approved space used during today’s visit. I observed permit restrictions including “daytime care only”, “enhanced space”, “enhanced ratios”, and “children under 2 ½ years old in rooms with direct exits only” maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher-directed small group and whole group activities, gross motor play, and lunch. Lunch consisted of a turkey and cheese sub, corn, apple slices, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I monitored your outdoor play spaces for general safety today. I observed thirty-one topical ointments stored in locked storage. I observed one emergency prescription medication. I observed these permission to administer forms to be current and in compliance. I observed your Incident Log to be current and up to date as required. Incident reports are filed in children’s individual files. I observed a kiosk located at the entrance of the facility for parents to sign children in and out. I observed sign in and out sheets located at the entrance of your facility for parents to sign children in if the kiosk was not working. All children present today signed in. I received a printout of today’s sign in and out from the electronic kiosk. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log was dated December 15, 2023, at 9:07am with three minutes and fifty-three minutes to evacuate. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. I observed the last emergency drill documented on this log was a lockdown dated November 9, 2023, at 4:58pm with three minutes and fifty-three seconds to lockdown. I monitored a selection of children’s files today. No violations were observed regarding children’s files. I monitored eleven new staff files that have been hired since your last ACV was completed on February 9, 2023. I monitored two existing staff files during today’s visit. You stated that you do not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 9 and space 10, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. I observed cabinets and sink areas to show visible dirt and milk spills throughout the facility. On playground 4, I observed the play structure to have chipping paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The facility's hallway was missing Electrical Outlet safety covers. A staff member placed safety covers in these outlets during today's visit. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the outdoor playgrounds, I observed several pieces of fencing with gaps between the fence and the ground. I observed protrusions from the fencing on multiple playgrounds. On playground 1, I observed the outside of the fence to measure 3ft 5in. GS 110-91(6); .0605((i) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, a topical ointment expired 12/2023. The topical ointment was discarded during the visit. .0803(12) 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. In space 8, plastic bags and plastic gloves were stored on a shelf below five feet in the restroom. A staff member placed these items above 5 feet during the visit. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 9/5/23 did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. A staff member was left alone with children in space 5. G.S. 110-90.2(b) & .2703(f) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that topical ointments that have expired should be returned to the parent or discarded within 72 hours. 2. We discussed that when a staff member lives out of state, sometimes a provisional criminal background check is issued while DCDEE waits on information from the other state. When a provisional criminal background check is issued, the staff member can be employed, but they may not be alone with children until they receive a valid criminal background check qualification letter stating that they can work with children. 3. We discussed that items that are considered choking hazards such as small objects, plastic bags, and plastic gloves; should be stored 5 feet or higher or stored in locked storage in classrooms for children three years of age and younger. 4. We discussed doing a walkthrough of the facility prior to caring for children to ensure that all electrical outlets are covered with safety covers. 5. We discussed that cabinets, walls, soap dispensers, etc. should be clean and free of visible dirt. 6. We discussed that infant feeding plans for infants fifteen months and younger should be posted. 7. We discussed that play structures should be free of chipping paint. 8. We discussed ensuring that staff files have all applicable documents on file for review. The following Consultation was provided during today’s visit: 1. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook and have parents sign that they have received the updated version. 2. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, is your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 3. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 4. We discussed adding more books to space 7 for children to engage with. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 83 Completed Date: 1/4/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:50 AM Time Out: 03:20 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, Dorothy Boles, Director, assisted me with the visit. Your facility, owned by Sister 4 Sister, INC., was listed as current-active as viewed on the North Carolina Secretary of State website prior to today’s visit. The last annual compliance visit was conducted on February 9, 2023. The last sanitation inspection was completed on September 7, 2023, with a “Superior” classification. The last fire inspection was conducted January 24, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent as of January 3, 2024. I observed your Five-Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, allergies, evacuation plans, daily schedules, and activity plans posted as required. I observed children adequately supervised, enhanced staff-child ratios, and adequate approved space used during today’s visit. I observed permit restrictions including “daytime care only”, “enhanced space”, “enhanced ratios”, and “children under 2 ½ years old in rooms with direct exits only” maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher-directed small group and whole group activities, gross motor play, and lunch. Lunch consisted of a turkey and cheese sub, corn, apple slices, and milk. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I monitored your outdoor play spaces for general safety today. I observed thirty-one topical ointments stored in locked storage. I observed one emergency prescription medication. I observed these permission to administer forms to be current and in compliance. I observed your Incident Log to be current and up to date as required. Incident reports are filed in children’s individual files. I observed a kiosk located at the entrance of the facility for parents to sign children in and out. I observed sign in and out sheets located at the entrance of your facility for parents to sign children in if the kiosk was not working. All children present today signed in. I received a printout of today’s sign in and out from the electronic kiosk. I observed your monthly Fire Drill Log documenting drills for the past twelve months. I observed the last fire drill documented on this log was dated December 15, 2023, at 9:07am with three minutes and fifty-three minutes to evacuate. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. I observed the last emergency drill documented on this log was a lockdown dated November 9, 2023, at 4:58pm with three minutes and fifty-three seconds to lockdown. I monitored a selection of children’s files today. No violations were observed regarding children’s files. I monitored eleven new staff files that have been hired since your last ACV was completed on February 9, 2023. I monitored two existing staff files during today’s visit. You stated that you do not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space 9 and space 10, infant feeding plans were not posted. 10A NCAC 09 .0902(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. I observed cabinets and sink areas to show visible dirt and milk spills throughout the facility. On playground 4, I observed the play structure to have chipping paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. The facility's hallway was missing Electrical Outlet safety covers. A staff member placed safety covers in these outlets during today's visit. 10A NCAC 09 .0604(c) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. On the outdoor playgrounds, I observed several pieces of fencing with gaps between the fence and the ground. I observed protrusions from the fencing on multiple playgrounds. On playground 1, I observed the outside of the fence to measure 3ft 5in. GS 110-91(6); .0605((i) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 7, a topical ointment expired 12/2023. The topical ointment was discarded during the visit. .0803(12) 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. In space 8, plastic bags and plastic gloves were stored on a shelf below five feet in the restroom. A staff member placed these items above 5 feet during the visit. .0604(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 9/5/23 did not have signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) 1947 An individual on a provisional criminal background check status was not supervised by a staff person who was determined to be qualified. A staff member was left alone with children in space 5. G.S. 110-90.2(b) & .2703(f) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that topical ointments that have expired should be returned to the parent or discarded within 72 hours. 2. We discussed that when a staff member lives out of state, sometimes a provisional criminal background check is issued while DCDEE waits on information from the other state. When a provisional criminal background check is issued, the staff member can be employed, but they may not be alone with children until they receive a valid criminal background check qualification letter stating that they can work with children. 3. We discussed that items that are considered choking hazards such as small objects, plastic bags, and plastic gloves; should be stored 5 feet or higher or stored in locked storage in classrooms for children three years of age and younger. 4. We discussed doing a walkthrough of the facility prior to caring for children to ensure that all electrical outlets are covered with safety covers. 5. We discussed that cabinets, walls, soap dispensers, etc. should be clean and free of visible dirt. 6. We discussed that infant feeding plans for infants fifteen months and younger should be posted. 7. We discussed that play structures should be free of chipping paint. 8. We discussed ensuring that staff files have all applicable documents on file for review. The following Consultation was provided during today’s visit: 1. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook and have parents sign that they have received the updated version. 2. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, is your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 3. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 4. We discussed adding more books to space 7 for children to engage with. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE LEMONADE STAND CHILD CARE & PRESCHOOL Facility ID: 49000530 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 63 Completed Date: 8/24/2023 Age: From 0 To 4 Total Minutes: 265 Time In: 09:00 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Dorothy Boles, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on February 9, 2023. The facility operates with a five star license issued on March 23, 2020, earning 6 points in program standards, 7 points in education standards, and 1 quality point. The 18-month compliance history is at 94% as of August 23, 2023. The last sanitation inspection was completed on June 21, 2023, with a “Superior” classification. The last fire inspection was conducted on January 24, 2023, and your facility was approved for daytime and night care. You visited each space with me. I observed your Five-Star License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff/child ratio sheets, and allergies posted as required. I observed adequate supervision, staff/child ratios maintained, permit restrictions, and licensed capacity maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, teacher directed activities, and lunch. Lunch consisted of tuna, mixed vegetables, apples, crackers, and milk. I observed and monitored a total of twenty-eight topical ointments and/or sunscreens in the facility. I observed and monitored one prescription topical ointment medication in the facility. I observed all Medication Administration Permission Forms to be current and in compliance. I observed and monitored one emergency prescription medication and one medical action plan in the facility. I observed monthly outdoor inspections documented for the past twelve months. I observed your most recent outdoor inspection was conducted on August 17, 2023. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on August 10, 2023, at 9:09am with three minutes and seventeen seconds to evacuate. I observed the most recent emergency drill in the form of a lockdown was conducted on August 7, 2023, at 5:15pm with one minute to lockdown. I observed your incident log to be current and complete as required. Incident reports are filed in children’s individual files. I observed four new staff members had been hired since the last ACV on February 9, 2023. I monitored these four new staff file during today’s visit. I monitored twenty-one existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, Recognizing and Responding training and valid ITS- SIDS training. The following violation was cited during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a child's emergency medication expired July 2023. In space 2, a child's permission to administer form expired June 2023. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 2, a child's medical action plan expired June 2023. .0801(b) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when children are transitioning to older classrooms that staff create a system to review any medications that they are given to ensure that medications and their permission forms are still valid and in compliance. 2. We discussed that Medical Action Plans should be updated annually for children. 3. We discussed that when a medication expires, it should be returned to the parent or discarded. 4. We discussed the meaning of “in a separate file” in regards to staffs medical information. In a separate file means that medical file has to be maintained separately from the staff member’s individual personnel file (not in the same location). 5. Please ensure that all staff have their current education information updated in their WORKS account. Also encourage staff to list their current place of employment when updating their account. Best practice is for all staff to have a copy of their Workforce Status Letter in their personnel file. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before September 7, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Kris Updike, by email at kris.updike@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times