10A NCAC 09 .0601 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 . 0508 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .0508 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .0806 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 0302 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 09.0601 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0606 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: 0426-436L Visit Date: 5/1/2026 Number Present: 41 Completed Date: 5/1/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 11:00 AM 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 visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is ninety-one percent (91%) as of 5/1//2026. The facility operates with a five-star license issued on 6/2/2021. The Special Services/Restrictions includes first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 4/29/2026 and sent to me on 4/30/2026. The report stated the allegations of a child sent home in dirty underwear that did not belong to them. Staff smoke while on the premises. The staff smoke while on break in their cars. Infants noticed with toys or objects in their mouth and staff did not pay attention on 4/23/2026. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and emergency care plan was posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was standing near the tables. When children finished lunch, they washed hands and transitioned to their cots. In space # 2, the group of infant children were resting in cribs, in rocker seat, and in highchair eating. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. One (1) child eating lunch in the highchair but the child was not strapped in to ensure safety of the child while the child is using the highchair for eating purposes. We discussed that when a child is in the highchair, the staff members should follow the manufacture’s instructions to ensure safety of the child while the child is using the highchair. Two (2) children were in the crib both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. While monitoring infant bottles brought from home, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. In space # 3, the group of two to three years old were eating lunch and preparing for nap. The staff were using natural lighting and a battery powered camping light to assist in areas where lighting was not bright enough to observe the children. The staff assisted the children with resting on their cots by sitting with them and rubbing their backs and providing low calming music. While monitoring the classroom, the daily attendance was not completed for today. The staff member corrected this during the visit. During the visit, I observed the diaper changing and potty training log that is shared with parents daily that documented each time the children were changed or attempted to use the restroom. In space # 4, the group of three- and five-year-old children were on their cots resting. One (1) staff member was sitting in a central location to observe the children, and another staff member was standing near the restroom to assist the one (1) child in the bathroom and help supervise the children sleeping on their cots. The staff used natural lighting, and low calming music to assist the children with resting. The last fire drill was conducted on 3/6/2026. A fire drill was not conducted for the month of April 2026. The last emergency drill, lockdown was conducted on 4/20/2026. The emergency medical care plan was posted and current. Allegations within the report included the following: Allegation regarding supervision. Infants were noticed with toys or objects in their mouth. The staff are not paying attention. Infants were observed indoors. Two (2) children were in their assigned cribs, one (1) was sitting in bouncy seat, and one (1) was sitting in the highchair. The staff member was sitting in the rocking chair when I arrived into the classroom supervising the children and got up and moved about the indoor area supervising the children. Allegations regarding staff smoking in cars at the child care facility. The facility was monitored during breaks staff member were not observed in cars smoking. Staff that do smoke stated they go off the premises to the end of the road or parked on the side of the road off of the child care facility near the trailer park. When they return to the premises, the staff wash hands upon reentering the child care facility. At 1:13p, a staff member left the premises in a white car and parked on the side of the road near the trailer park. At 1:22p the staff member in a white car returned back to the child care premises. When the staff member returned to their assigned classroom, the staff member washed their hands upon entering the room. The staff member did not smell like smoke. At 1:28p another staff member left the child care premises and parked on the side of the road near the trailer park. No smoking sign is posted on the fence as you enter the child care premises. No smell of smoke was present in the child care facility. We discussed developing a policy for staff members that smoke to wash hands and potential change shirts upon arriving back to the child care facility to ensure the children’s environment is smoke free at all times. We also discussed you could ask staff to wear personal protective equipment while smoking to help ensure the children’s environment is smoke free at all times. Allegations regarding unclean underwear being worn home by a child. Children were observed to be in clean clothing. Extra changes of clothes were stored in the children’s cubby and the outside bag to assist when out on the playground should an incident occur. Inside the outside bag, the children’s extra changes of clothes were rolled up and labeled with each child’s name. Children were observed using the restroom one (1) at a time and a staff member was present at the restroom when a child was using the restroom. Five (5) staff members were interviewed including the administrator. Two (2) of the five (5) staff members interviewed were assigned to the two-year-old classroom on the date of the incident staff reported a child did not have a accident in their underwear that day, and no child was changed that day. Each child has an extra change of clothing in their cubbys and the outside bag should they need them. Only one (1) child uses the restroom at a time with a staff member standing at the bathroom door. When asked if there are any incidents that occur when more than one child is in the restroom at one time, one (1) staff member stated if a child is washing their hands and another child of the same gender has to go to the restroom the staff member will allow only if themselves or another staff member is standing at the restroom to supervise. Overall, it is only one (1) child using the restroom at a time. The diaper changing and potty training logs were reviewed during the visit. The staff members complete these after each diaper change and when a child attempts to use the restroom. The staff members also set a timer to ask those who are potty training if they need to use the restroom and take them as needed. All five (5) staff members reported that staff who smoke go off the premises of the child care facility to park at the end of the road or on the side of the road near the trailer park, and wash their hands upon entry to the facility. Two (2) of the five (5) staff members interviewed assigned to the infant classroom stated that when a child puts a toy in their mouth it is removed once they are finished playing with the toy. Regarding small items in their mouth while outdoors, the two (2) staff members stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. We discussed that all under children two years old are to go outside daily for thirty (30) minutes. Based on the interviews conducted, and observations, the allegation regarding supervision was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding staff smoking in cars at the child care facility was unsubstantiated. Based on the interviews conducted, and observations, the allegation regarding unclean underwear being worn home by a child was unsubstantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 498 For children under 2 years of age, a minimum of 30 minutes of outdoor time throughout the day either as part of a small group, whole group, or individual activity was not provided. Space 2, infants do not go outside daily. 10A NCAC 09 . 0508(c) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Space 2, three (3) bottles were not labeled. 15A NCAC 18A .2804(d) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Space 2, visual checks were not documented every fifteen (15) minutes at 11:11a. The last documented sleep check was at 10:00a. .0606(g) 1301 Center did not maintain a record of daily attendance. Space 3, daily attendance was not completed for today. GS 110-91(9) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. .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 child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 498- Space 2, two (2) staff members assigned to the infant classroom stated that they do not take the infants outside daily due to the number of children enrolled. When they get low in numbers they will take the children outside, but that is usually at the end of the day. I did not observe the infants outside during today’s visit. We discussed that all children under two years old are to go outside daily for thirty (30) minutes. Rule Reference:10A NCAC 09 .0508(c) Item 533- Space 2, three (3) bottles were not labeled. The staff member corrected this during the visit by putting the child’s name and date on the bottle. The staff also discussed they will review this with the parent this afternoon. Rule Reference: 15A NCAC 18A.2804(d) Item 805- A monthly fire drill for April 2026 was not conducted. The last documented fire drill was dated 3/6/2026. We discussed pre-planning all fire drills and documenting them on your calendar and setting a reminder in your phone to assist with ensuring they are completed on time. Rule Reference: 10A NCAC 09.0604(t); .0302(d)(5) Item 807- Space 2, one (1) child sitting in the highchair eating lunch was not secured using the high chair straps. We discussed when the high chairs are in use per manufactures instruction found online, states to always use restraint system when the highchair is in use. Rule Reference: 10A NCAC 09.0601(a) Item 840- Space 2, one (1) container of disinfectant wipes sitting in a crib below five (5) feet. The staff member stated she was cleaning since the numbers were down and moved the disinfectant wipes. Rule Reference: 15A NCAC 18A.2820(b) Item 887- Space 2, two (2) children were in their assigned crib and both children were awake. During my monitoring one (1) child fell asleep. I reviewed the safe sleep check at 11:11a and the last documented safe sleep check was documented at 10:00a. The staff member stated that she was conducting the checks but had not written those down. We discussed that the safe sleep checks must be documented every fifteen (15) minutes as stated in the Safe Sleep policy. We also discussed using a timer to assist with remembering to conduct these checks and to post the safe sleep chart near the crib in order to be a reminder to complete the safe sleep chart when the visual check is conducted. Rule Reference: 10A NCAC 09.0606(g) Item 1301- Space 3, daily attendance was not completed for today. The staff member corrected this during the visit. Rule Reference:10A NCAC 09 0302(d)(3) Item 1419- The Ingenuity Full Course Smart Clean 6-n-1 Highchair manufacture’s instructions were not on file for review. We discussed when purchasing items the facility will need to keep all manufactures instructions in a hardcopy file or electronic file. Rule Reference: 10A NCAC 09.0601(b) Item 1805- The child care operator has not notified the Division of the eight (8) staff, including the owner, that are hired at the Creative Village Child Care. We discussed reviewing the current staff roster in the ABCMS portal to ensure all current staff members are listed including the administrator. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/15/2026. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We reviewed the following rules for a smoke free environment, and toileting, clothing, and linens. The facility was smoke free and tobacco free during today’s visit. The facility also provided routine diaper changes, clean clothing and linens. Below are the rules for reference: 10A NCAC 09 .0604 (h-j) (h) Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off premise activities. All smoking materials shall be kept in locked storage. For child care centers in an occupied residence that are licensed for 3 to 12 children when any preschool-age children are in care, or for 3 to 15 children when only school-age children are in care, the premises shall be smoke free and tobacco free during operating hours. (i) Signage regarding the smoking and tobacco restriction shall be posted at each entrance to the center and in vehicles used to transport children. (j) The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .0806 TOILETING, CLOTHING AND LINENS (a) Diapers shall be changed whenever they become soiled or wet and not on a shift basis. (b) The center shall ensure that clean clothes are available in the event that a child's clothes become wet or soiled. The change of clothing may be provided by the center or by the child's parents. (c) A supply of clean linens must be on hand so that linens can be changed whenever they become soiled or wet. (d) Staff shall not force children to use the toilet and staff shall consider the developmental readiness of each child when toilet training. (e) Staff shall provide assistance to each child to ensure good hygiene. 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .0601 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1102 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1703 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .2830 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 09.0605 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 09.0802 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 09.1103 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 46 Completed Date: 6/3/2025 Age: From 0 To 5 Total Minutes: 257 Time In: 10:13 AM Time Out: 02:30 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Liz Dohy, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Liz Dohy, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/23/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Creative Village Child Care LLC, is current/active as of 5/23/2025. Permit type – Five (5) Star Rated License, issued 6/2/2021. Special Services/Restrictions – first shift, no cooking allowed, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 6/18/2024. The last fire drill was practiced on 5/1/2025. The last lockdown drill was practiced on 3/28/2025. The next drill is due by 6/28/2025. The last playground inspection was documented on 5/12/2025. The last fire inspection was approved on 6/25/2024. The last sanitation inspection was conducted on 9/16/2024 with four (4) demerits for a superior classification. The last lead water testing was completed on 10/24/2023. The next testing is due on or before 10/24/2026. The last lead paint and asbestos test was completed on 11/13/2024. The next testing is due on or before 11/13/2027. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plans was current and updated on 4/14/2025. The approved curriculum for four-year-old children is High Scopes. Upon arrival I greeted by the Administrator. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. In space #1, the group of one- year-old children were engaged in gross motor play outdoors. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. At lunch the two (2) staff members were sitting at the table with the children and one (1) staff member was putting out the cots. Once the children finished lunch, the staff assisted the children with washing their hands and getting on their cots. As the children lay down, one (1) staff member covered the children up with their blankets and rubbed their back to assist them with calming down. The staff member also turned the nap music on low. Once everyone finished lunch, the lights were turned off and the natural light was used to light the room. During nap, two (2) staff members were stationed between the children on their cots. In space # 2, the group of infant children were engaged in exploring the room, routine diaper change, and play in an activity seat. When I arrived in the room one (1) child was having their face wiped on the diaper changer, three (3) were exploring the room, one (1) was playing with a rattle while engaged in tummy time, one (1) child was in the high chair finishing eating, and one (1) child was being held by a staff member. The staff were moving about the indoor area supervising the children. During nap time, two (2) staff members were present the lights were off and natural light was used to light the classroom. One (1) staff member was stationed near the exterior door and one (1) staff member stationed near the food prep area to actively supervise the children. In space # 3, the group of two to three years old were engaged outdoor gross motor play. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. After lunch, the group washed hands and transitioned to their cots. During nap time, the cots were placed eighteen (18) inches apart, soft nap music was playing, and the lights were turned off and the natural lighting was used to light the room. The staff used a battery powered camping lantern in the back of the classroom to assist with supervision. The staff members were moving about the indoor area actively supervising the children. In space # 4, the group of three- and five-year-old children were engaged outdoor gross motor play. Eight (8) of the children and one (1) staff member had transitioned in from gross motor play to wash hands and prepare for lunch. At 10:44a seven (7) children and one (1) staff member transitioned in from outdoors. Upon arrival into the room, the children began to wash hands and prepare for lunch. One (1) staff member was sitting at the table with part of the children and the other staff member assisted the children as they used the restroom and washed hands for lunch. During nap time, the staff were stationed on opposite sides of the room to actively supervise the children. Children enrolled bring their meals and snacks from home. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get their arm or leg stuck between the fences. The program does not provide transportation. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence .0605(g) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. .1103(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. .0802(c) Technical assistance was provided as follows: Item 714 The fence between the two (2) playgrounds had a four and half inch opening between the fence and the exterior privacy fence. We discussed adding a piece of lattice to close the opening so that child does not get stuck. Rule Reference: 10A NCAC 09.0605(g) Item 807 While monitoring outdoors, I observed the bottom of the double gate was showing signs of rust. The administrator and I discussed sanding and repainting the bottom to prevent any further rusting. Rule Reference: 10A NCAC 09 .0601(a) Item 1052 While monitoring staff files, I observed one (1) staff member hired 4/26/2021 completed eight (8) ongoing training hours prior to 4/26/2025. The staff member was required ten (10) on-going hours by 4/26/2025. Two (2) training hours were completed on 4/27/2025 after the required completion date. We discussed that I would use the two (2) hours completed on 4/27/2025 to complete the requirements for the 2024-2025 required hours. Moving forward the administrator would need to remind staff that their on-going training hours are due by their employment date the following year. Rule Reference: 10A NCAC 09.1103(a) Item 1311 While monitoring the children’s files, I observed one (1) child’s emergency information that was not updated annually. The last update was completed on 5/28/2024. The administrator stated that she would get the parents to review their emergency information this afternoon during pick up. Rule Reference: 10A NCAC 09.0802(c) Achieving Compliance: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1102 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1703 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .2830 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 43 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 10:50 AM Time Out: 01:15 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Upon arrival, I was greeted by Elizabeth Dohy, Administrator. Ms. Dohy was available during the visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90%) percent as of today prior to this visit. Limited monitoring of child care rules was conducted today, including but not limited to indoor and outdoor space, staff record, supervision and interactions. The program’s las annual compliance visit was conducted on 6/18/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License effective 6/2/2021. Special Services/Restrictions – first shift (daytime care), no cooking allowed, enhanced ratios, and meets enhanced space. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/26/2024. The last fire drill was practiced on 1/30/2025. A fire drill was not conducted for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a fire drill has been conducted monthly. The last emergency drill, lockdown drill, was practiced on 1/31/2025. The last playground inspection was documented on 1/17/2025. A playground inspection was not completed for the month of October due to Tropical Storm Helene. Since the facility has been re-opened a playground inspection has been completed. The last fire inspection was approved on 6/25/2024 The program’s most recent sanitation inspection was completed on 9/16/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. In space #1, the group of one-year-old children were eating lunch that is brought from home and transitioning to nap time. One (1) staff member was sitting with the children at the tables, and one (1) staff member was putting out cots. While monitoring medications, I observed one (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. In space # 2, the group of infant children were engaged in exploring the room, individual bottle feeding, and nap. The staff were meeting the individual needs of the children while actively supervising. While monitoring the classroom, I observed the refrigerator reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still not meeting the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. In space # 3, the group of two to three years old were on their cots resting. The staff member was moving about the indoor area. In space # 4, the group of three- and five-year-old children were on their cots resting. The staff member was walking around the classroom to observe the children. The children enrolled have a nutritional opt out form on file and bring their meals and snacks form home. Outdoors, I observed a cracked and broken storage bin. The administrator and I discussed that these were damaged due to Tropical Storm Helene. New storage bins have been ordered, and the maintenance team is working on putting those together. The new storage bins will replace the damaged ones by the end of this week. We discussed adding duct tape to cover the areas so that a child does not get injured. The side fence was damaged during Tropical Storm Helene and the facility is waiting on Anchor Fencing to come out to make the repairs. The administrator was contacting the fencing company. The administrator will keep me updated on the repairs and when they will be completed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. 15A NCAC 18A .2806(j)(2) 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. One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. .0803(12) Technical assistance was provided as follows: Item #601 The refrigerator that housed the bottles was reading fifty (50) degrees. The administrator changed out the refrigerator during the visit. The new refrigerator still does not meet the required temperature. The staff moved the bottles to the refrigerator upstairs until a new refrigerator can be installed. We discussed having staff look at the thermometer each time they open the refrigerator to ensure the temperature is at or below forty-five (45) degrees. Rule Reference: 15A NCAC 18A.2806(j)(2) Item #849 One (1) diaper cream permission to administer medication form expired on 1/17/2024, and one (1) tube of sunscreen expired on 12/2024. The administrator removed the sunscreen and diaper cream form the classroom and stored them in the office until the parents pick up this afternoon. We discussed having the staff review medications and forms monthly to ensure each is still in compliance. Rule Reference: 10A NCAC 09 .0803(12) Consultation is provided as follows: We discussed that the license is still held harmless and the Division will give us guidance when rated license reassessments will resume. ITERS-3, ECERS-3, SACERS-U, and FCCERS-3 are now the assessments that providers will receive when going through the reassessment process. Providers and staff need to be trained and become familiar with the new assessment tool. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .0601 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .0605 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1102 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1104 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .1703 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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 .2830 · Violation

Name of Operation: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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: CREATIVE VILLAGE CHILD CARE Facility ID: 11000826 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 39 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:45 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 compliance during an annual compliance visit. Upon arrival, I was greeted by Elizabeth Dohy, Administrator, and Tonya Davis, Administrator. Ms. Dohy and Ms. Davis were on-site and available during the visit. The program operates with a Five (5) Star Rated License, issued 6/2/2021. The permit restrictions were in compliance including first shift, no cooking allowed, meets reduced ratios, and meets enhanced space. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The last annual compliance visit was conducted on 7/6/2023. The last fire drill was practiced on 6/5/2024. The last shelter-in-place drill was practiced on 5/22/2024. The last playground inspection was documented on 6/17/2024. The last fire inspection was approved on 6/15/2023. The last sanitation inspection was conducted on 11/17/2023 with five (5) demerits for a superior classification. The last lead water testing was completed 10/5/2023. The environmental health inspector stated that the facility did not need to worry about the asbestos testing due to the age of the building. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 4/25/2024. The approved curriculum for four-year-old children is High Scope. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 6/13/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Creative Village Child Care LLC, is current/active as of 6/13/2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. In space # 3, the group of two to three years old were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, the staff sat in the middle of the room to ensure all children were supervised, had a dim light, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant was identified as a Golden Pothos and the other was identified as a Snow Bean or String of Pearls, both plants are toxic to children causing vomiting and diarrhea. In space # 4, the group of three- and five-year-old children were engaged in outdoor gross motor play with jeep, see saw, sand, and slides. The staff were moving about the outdoor space and frequently counting the children. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap the two (2) staff sat on opposite sides of the room to ensure all children were supervised, natural lighting from the windows, and calming music on. While monitoring indoors, I observed two (2) plants sitting on top of a mantel at the back of the classroom. One (1) plant identified as a String of Bananas, both plants are toxic to children causing vomiting and diarrhea. In space # 2, the group of infant children were engaged in free choice floor play, individual feeding, and nap. Three (3) infants were sleeping, one (1) was being fed a bottle by the staff member, and two (2) were playing on the floor with blocks, rattles, and teething toys. The staff were meeting the individual needs of the children with routine diaper changes and feedings as needed for each child. In space #1, the group of one- and two-year-old children were engaged in outdoor gross motor play with blocks, bouncy seats, tractor, wagons, sand, and bubbles. The staff were engaging play with the children while frequently scanning and counting the children. While monitoring the space, I stated that I would need to ensure that the floor plan showed the appropriate sectioning of the classroom space, or I would need to re-measure. The floor plan did not show the current layout and sectioning. I re-measured the space and spoke with the administrator about the space requirements for each space. Since the space requirements would reduce the number of children that could be cared for at one time. The administrator stated that she will remove the fence and gate to show the accurate floor plan and have the appropriate space for the children enrolled. While monitoring outdoors, I observed the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. Also, I observed rust showing on the metal jeep and the red art stand. The children enrolled have a nutritional opt out form on file and bring their food from home. Staff and children’s files were monitored during the visit. I monitored two (2) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 5/30/2024 by the administrator. Staff file concerns: Staff member hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. Staff member hired 8/4/2014 professional development plan and staff evaluation was not on file for review. The administrator completed these during the visit. I monitored five (5) children’s files and completed the Children’s Record form. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. 10A NCAC 09 .0304(a) 721 All equipment and furnishings were not in good repair. Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. G.S. 110-91(6); .0601(b) 823 Toxic plants were accessible to children. In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. .0604(l) 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. Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. GS 110-91(6); .0605((i) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. 10A NCAC 09 .0514(f) Technical assistance was provided as follows: Item # 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility has not obtained a fire inspection completed within twelve (12) months of the previous inspection. The fire inspection on file was completed 6/15/2023. The administrator stated that they have attempted to contact the Fire Marshal but was told that the computer will generate when the inspection is due to be completed. I suggest contacting them prior to inspection to state that the inspection is due on or before the previous inspection date. Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. - Outside on the preschool playground, I observed one (1) metal green jeep had chipped paint with rust showing on the exposed metal., and the red art stand had chipped paint with rust showing on the exposed metal. I suggest during your daily playground checks remove any items showing signs of wear, tear, or rust. If items are showing signs of rust, you can use paint to touch up the areas that are chipping. Item #823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf. - In space # 4, toxic plant string of bananas was hanging in the preschool classroom window. In space #3, two (2) toxic plants were located on the mantel in the back of the classroom. The administrator removed the plants during the visit. I suggest reviewing the toxic plant list prior to purchasing a plant to have in the classroom. Item #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. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Preschool playground space, the fence to the right of the double gate measured three (3) feet six (6) inches instead of the required four (4) feet. I suggest raking the mulch back away from the base of the fence to allow for the adequate fence height. Item # 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director and individuals who volunteer more than once per week. Item required: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. - Staff members hired 4/2/2024 and 1/2/2024 need TB screening signed by a licensed health care professional. The form was completed by the staff but not the health care professional. I recommend reviewing TB screenings to ensure that a licensed health care professional has signed off verifying that the staff member is free of TB. Item # 1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. - Staff member hired 8/4/2014 personnel file did not contain an annual staff evaluation and staff development plan. The administrator corrected this during the visit. I recommend noting on your calendar when each staff members evaluation and staff development plan is due to ensure that you review them annually. Corrective Action Plan: 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. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Hold Harmless During the Child Commission Meeting on May 20, 2024, the Commission voted on the extension of Senate Bill 876 Hold Harmless. At this time, Senate Bill 876 Hold Harmless has not been signed into law. We will move forward with our current cohort model until we receive further guidance from the Division. The current cohort model already in place has the facility is in cohort 2 with a preparation year beginning 7/1/2024 and ending 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. Professional Development Plan 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual's planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Staff Evaluations 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Reminders - Ongoing training hours: Staff member hired 6/23/22 ten (10) hours is due by 6/23/2024, Staff member hired 10/3/2022 ten (10) hours is due by 10/3/2024 This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Elizabeth Dohy, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. 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