10A NCAC 09 .0514 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/10/2026 Number Present: 46 Completed Date: 3/10/2026 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on February 6, 2026. Emergency drills are being conducted every three months as required. The last emergency drill was completed on December 19, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on February 6, 2026. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications, permission to administer forms and Medical Action Plans, were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A metal bus and climber showed signs of rust on the playground for three and four year old's. Walls, sinks, trashcans, toys showed signs of dust and buildup throughout the facility. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5 and 6, baby wipes containing "keep out of reach of children" were accessible to children. In space 3 an aerosol can of cleaning spray was stored in an unlocked cabinet. In space 4, topical ointments were stored in an unlocked cabinet below 5 feet. A container of disinfectant wipes were stored on the counter top below 5 feet and a cabinet containing cleaning supplies was unlocked. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled contained. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 3, two emergency medications did not contain permission to administer forms. 10A NCAC 09 .0803(4)(6-9) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff member hired on 11/12/10 did not complete the required number of on-going training hours for 2024-2025. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 11/12/10 did not have an annal staff evaluation for review. 10A NCAC 09 .0514(f) 1301 Center did not maintain a record of daily attendance. When reviewing the Brightwheel app for electronic sign in, four children were not signed in for the day. GS 110-91(9) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be checked for all applicable information according to the Child Care Rules. All prescription medication must come in the original pharmacy packaging with the prescription label attached. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 3. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. It is recommended that staff deep clean their classrooms at the end of each week to ensure that there is not dust and buildup on toys, shelves, walls, sinks, and trashcans. 4. We discussed administrative staff monitoring the Brightwheel app by 9am to ensure that all children have been signed in for the day. If children are missing, staff or the administrator should sign the child in. 5. We discussed getting all staff on the same rotation for completing annual staff evaluations and professional development plans. Professional development plans should outline staff members individual goals and steps taken to achieve those goals. The staff evaluations and professional development plans should be reviewed and updated annually. 6. We discussed staff being aware of their required annual on-going training hours. On-going training hours are calculated by each staff member’s hire date. Training certificates should be maintained in each staff member’s file and documented on the on-going documentation log. Consultation was provided on the following: 1. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 2. We discussed sending a memo out to parents to instruct them to label their child’s water bottles with the child’s name and date. If a water bottle comes to the center without a label, staff should label the water bottle prior to storing it in the designated area. 3. We discussed that if an infant is absent, best practice would be to document on the infant sleep check log the date and “absent” to show that the child was not in attendance. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant August 28, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than August 28, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before March 24, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1801 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/4/2026 Number Present: 38 Completed Date: 2/4/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an Administrative Action Follow Up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 12, 2025. You, Summer Eldreth, Director, assisted me with today’s visit. The program operates with a three-star rated license issued on July 21, 2025. The compliance history prior to today’s visit was eighty-five percent. The center's three-star rated license, NC Child Care law summary dated November 2025, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, and adequate and approved space. Children were observed engaging in free choice activities, teacher directed art activities, story time, toileting and handwashing routines, art activities, and lunch. Infants were observed receiving care according to their individual needs and engaged in floor play with the caregiver. The Written Warning was posted in a prominent location. On December 16, 2025, I spoke with Summer Eldreth, Director, she stated that the facility had received the written warning administrative action. Mrs. Eldreth stated that the facility does not plan to appeal the action. Stipulation #1 of the CAP was in compliance during today’s visit. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09. 1801 regarding supervision. Stipulation #2 of the CAP was not completed during today’s visit: Summer Eldreth, Director, contacted Rebbecca Hayes, Child Care Consultant, on January 1, 2026, to arrange for a complete review of all child care rules to be conducted on January 13, 2026. Twelve out of thirteen staff members were present during the training. The staff member absent from the training has since not returned to work. Stipulation #3 of the CAP stated that within two (2) weeks after the required child care rules review, Ms. Eldreth shall revise the facility’s discipline policy and procedures to incorporate strategies learned in the rules review training. The written discipline policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with appropriate discipline of children. This was sent to me via email on January 28, 2026, for review. The facility has been closed due to inclement weather. The following violations were documented during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/27/25 has not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/27/25 has not completed CPR training. .1102(d) Technical Assistance was provided on the following: • We discussed reviewing and updating the tracking sheet of staff members training expiration dates monthly to ensure that all staff members are registered for required trainings prior to their current training expiring. Consultation was provided on the following: • We discussed reaching out to the staff member that was not in attendance for the rules review to determine a timeline and next steps for completing this process. Stipulation #1 of the CAP is incomplete due to all staff members not being in attendance for the training. Please submit documentation within two weeks of the plans for the staff member and your plan for reviewing the child care rules to complete this task. • We discussed the facility becoming a Notice of Compliance. I informed you that the pastor or his/her designee, such as a Board Member, Associate Pastor, or Youth Pastor who serves in an official church business capacity, must complete the two-day Pre-Licensing Workshop provided by the Division. I suggested communicating with the board to inquire about the person that took the Pre- Licensing workshop back in 2000 when the facility began operation. The pastor will also need to complete a criminal background check through DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 18, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/4/2026 Number Present: 38 Completed Date: 2/4/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 10:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an Administrative Action Follow Up visit, including the Corrective Action Plan included in the Written Warning issued by the DCDEE to this facility on December 12, 2025. You, Summer Eldreth, Director, assisted me with today’s visit. The program operates with a three-star rated license issued on July 21, 2025. The compliance history prior to today’s visit was eighty-five percent. The center's three-star rated license, NC Child Care law summary dated November 2025, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, and adequate and approved space. Children were observed engaging in free choice activities, teacher directed art activities, story time, toileting and handwashing routines, art activities, and lunch. Infants were observed receiving care according to their individual needs and engaged in floor play with the caregiver. The Written Warning was posted in a prominent location. On December 16, 2025, I spoke with Summer Eldreth, Director, she stated that the facility had received the written warning administrative action. Mrs. Eldreth stated that the facility does not plan to appeal the action. Stipulation #1 of the CAP was in compliance during today’s visit. The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, Child Care Rule 10A NCAC 09. 1801 regarding supervision. Stipulation #2 of the CAP was not completed during today’s visit: Summer Eldreth, Director, contacted Rebbecca Hayes, Child Care Consultant, on January 1, 2026, to arrange for a complete review of all child care rules to be conducted on January 13, 2026. Twelve out of thirteen staff members were present during the training. The staff member absent from the training has since not returned to work. Stipulation #3 of the CAP stated that within two (2) weeks after the required child care rules review, Ms. Eldreth shall revise the facility’s discipline policy and procedures to incorporate strategies learned in the rules review training. The written discipline policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with appropriate discipline of children. This was sent to me via email on January 28, 2026, for review. The facility has been closed due to inclement weather. The following violations were documented during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 10/27/25 has not completed First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 10/27/25 has not completed CPR training. .1102(d) Technical Assistance was provided on the following: • We discussed reviewing and updating the tracking sheet of staff members training expiration dates monthly to ensure that all staff members are registered for required trainings prior to their current training expiring. Consultation was provided on the following: • We discussed reaching out to the staff member that was not in attendance for the rules review to determine a timeline and next steps for completing this process. Stipulation #1 of the CAP is incomplete due to all staff members not being in attendance for the training. Please submit documentation within two weeks of the plans for the staff member and your plan for reviewing the child care rules to complete this task. • We discussed the facility becoming a Notice of Compliance. I informed you that the pastor or his/her designee, such as a Board Member, Associate Pastor, or Youth Pastor who serves in an official church business capacity, must complete the two-day Pre-Licensing Workshop provided by the Division. I suggested communicating with the board to inquire about the person that took the Pre- Licensing workshop back in 2000 when the facility began operation. The pastor will also need to complete a criminal background check through DCDEE. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 18, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0714 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1803 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-364L Visit Date: 11/5/2025 Number Present: 45 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 310 Time In: 09:10 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted us with the visit. Juila Armstrong, Investigation Consultant, accompanied me on today’s visit. We spoke with Bill Orren, Pastor, Ronnie Morgan, Deacon, and Brent Warren, Board Member was also present during today’s visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. Based on the information provided, forty-five children ages zero to five were present during the visit. There are allegations of violations of child care requirements including discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Children were observed during free choice activities, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. The following documentation was reviewed: • Menus • Toileting supplies • Parent handbook • Staff handbook Mrs. Armstrong spoke with you and asked if you had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. You stated that you did not have any concerns related to the allegations. Regarding discipline and the handling of children, you stated when a staff member has a child with challenging behaviors, they notify you, the child is switched from “room to room.” You stated that you go to the classroom and speak with the child and asked why they are exhibiting the behavior and once they have calmed down, you give the child “a hug and love.” You stated that none of the children’s behaviors are documented. The lead teachers are allowed to speak with parents regarding the child’s behavior and they also contact Ms. Canter. The facility has Brightwheel Childcare software app, but staff are not allowed to use the app to communicate with parents. You stated said the app would be a distraction for staff members and stated there are telephones in each classroom that allow parents to call in. You reported that you had not observed a staff member being aggressive or humiliating a child. During the walk through Mrs. Armstrong told Mrs. Canter that she observed a staff member that was not nurturing to a child that was reluctant to leave her parent. You stated that you had spoken with the staff member on multiple occasions in the past regarding her tone but did not document the conversations. The method of discipline used in the facility was time-out for every year old the child is. You stated that the discipline policy is reviewed with staff when hired. You also stated that you conducted a meeting on Monday, November 3, 2025, to review the policy. Regarding staff/child ratios, you stated that to your knowledge the facility had not been out of ratio and that you had not observed any classroom out of compliance. Regarding sanitation and health, you stated that you call the child’s parent when the child has diarrhea, vomiting or a temperature of 100.4 degrees or over. You stated that you do not inform parents regarding communicable diseases and stated they have not had any. You stated that sick children stay in your office until a parent arrives to pick them up. Regarding children’s records related to incident reports, you stated if a child has head injury, or a serious injury, you contact the parent. If the child has a scratch or bruise, the staff member that witnessed the incident completes the incident report and you sign off on it, make a copy, and gives the parents a copy. Regarding nutrition, Mrs. Canter is responsible for the menus. The cook is supposed to update the menu when something changes. She said the staff are provided with measuring cups in order to make sure the children receive the correct portion size. The children are also offered a second helping when there is more food. The children are offered fruit juice once per day in the afternoon with snack. Food allergies are posted in every classroom with the child’s name and what they are allergic to. The facility does not use anything that contains peanuts. Regarding age-appropriate activities, you reported that children are not required to be potty trained before transitioning to another class. All classrooms have a changing table. If children are on the playground and need to use the restroom, staff contact you, and you bring the child inside to use the restroom. You stated that children only wear pullups when instructed by the parents. Regarding staff qualifications/requirements, you stated that you do not clock in or document your time. You reported that you are present at the facility for ten to twelve hours a day. Other staff members clock in on the iPad in the break room. Staff members were interviewed during today’s visit. Staff were asked if they had any concerns regarding discipline, staff/child ratios, sanitation and health, children’s records related to incident reports, nutrition, and age-appropriate activities, and staff qualifications/requirements. Regarding discipline and the handling of children, it was reported that the discipline policy is reviewed during the initial hiring process. It was reported that during the orientation process, staff are given documents to review independently and instructed to ask questions for clarification. Shortly after reviewing and signing documents, it was reported that staff members are placed in a classroom. Staff reported that they have not witnessed any staff members using harsh tones, humiliation due to toileting needs, or shaming children. Children with challenging behaviors are redirected or given something else to play with and removed from the situation until they clam down. Regarding staff/child ratios, it was reported a staff member during interviews that there are not enough staff for the facility. The director comes to work at 8:00am. If staff/child ratios are out of compliance staff contact the director and she comes to assist but her travel time to the facility is twenty to thirty minutes. It was confirmed that the classroom has been out of ratio during that time. A staff member reported that children are moved to different classrooms if staffing is limited or they are over ratio. Staff reported that children transition with their personal blanket, clothes, water bottles, and if they use special diapers. A staff member reported that if they are out of ratio, they will contact the director. A staff member asked what the ratio of their classroom was during today’s visit. It was reported that if they are over ratio they will try to call someone, but it Is not guarantee that they will answer or come. During today’s visit, postings were observed on the outside of several classrooms seeking children’s missing items such as shoes, jackets, and clothing. It was observed that two classrooms caring for children two years of age combined together in one classroom. Regarding sanitation and health, it was reported that the facility has a sick policy, but the policy is not implemented. Staff stated that a sick area is not provided for children, if children become sick while in care, they try to keep the child away from other children. It was reported that sick children do not stay in the director’s office while waiting for a parent to pick them up. Parents are not notified regarding communicable diseases. It was reported that there have been times when classrooms have run out of supplies and because they are short-staffed, no one can go downstairs to replenish the items. A staff member stated they have used their lunch break to gather supplies for each classroom. It was reported that the kitchen staff now brings a basket of items upstairs and places it in the staff break room for staff to take them to their room. During today’s visit two classrooms’ paper towel dispensers were empty. Regarding children’s records related to incident reports, it was reported that staff complete incident reports when children have an incident. First Aid measures are taken when a child has an incident and if the incident is minor, parents are notified at pickup. Blank incident reports were observed to be in the classrooms. Regarding nutrition, it was reported that menus are rotated monthly. Staff stated that a type of cracker is served daily for snack along with water or juice. It was reported that that fruit is served at breakfast and snack. Staff stated that food is served with measuring cups to ensure the proper amounts of food is served during mealtimes. The kitchen area was monitored to have a variety of foods that meet meal pattern guidelines. Regarding age-appropriate activities, it was reported that toileting while on the playground was difficult. Staff reported that if a child happens to need the restroom while outdoors, they will ensure that the classroom is in ratio prior to leaving the playground. A staff member reported that they are now able to use the parsonage building beside the playground. A staff member reported that the director does not come to the playground to assist with toiling needs. It was reported that children were required to be potty trained before moving up to another classroom, but that is no longer required. It was reported that there are some children who have medical needs and are not toilet trained in their classroom. Per parent request, there are also children who are placed in pull ups during rest time. Regarding staff qualifications/requirements, it was reported that staff use the tablet located in the break room to clock in and out. Based on information received from observations and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding discipline was unsubstantiated. Based on information received from interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding staff/child ratios was substantiated. Based on information received from observations and interviewed staff during today’s visit, I was able to confirm the allegation. Therefore, the allegation regarding sanitation and health was substantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding nutrition was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding age-appropriate activities was unsubstantiated. Based on information received from observations, documents, and interviewed staff during today’s visit, I was unable to confirm the allegation. Therefore, the allegation regarding staff qualifications/requirements was unsubstantiated. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties base the substantiation of staff/child ratios and sanitation and health. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. It was reported that classrooms are out of staff/child ratios at times during morning drop off. GS 110-91(7);.0713(a-d) 1420 Comfortable provisions were not made for children who wished to rest or were sick. It was reported that a designated area for children who were or became sick was not available. .2508(f) Technical Assistance was provided on the following: • We discussed that the facility meets minimum staff/child ratios. You were reminded that the staff/child ratio of the youngest child present in each classroom must be maintained. Children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained. It is recommended that the facility creates a transition sheet for when children are moved to other classrooms in order to maintain staff/child ratios. This sheet could also be utilized for the first and last hour of the operating day if a specific classroom is used during this time. Please keep in mind that the classroom utilized should have age-appropriate materials for all ages. Please be mindful that when moving classrooms, children should have a designated space for their belongings. This will ensure that each child’s personal belongings are accounted for when changes are made. • It is recommended that prior to the arrival of children, staff conduct a walkthrough of their classroom to ensure that materials and supplies are available. Prior to leaving for the afternoon, it is recommended that staff replenish materials and supplies that may be running low. • It is recommended that an inventory of supplies be kept in the custodian closet to ensure supplies are easily accessible. This will prevent staff members from traveling downstairs to retrieve items needed. An inventory list be kept on the custodian closet door as a quick reference of the number of supplies remaining in the facility. Administrative staff can check this list monthly and purchase additional supplies prior to the facility running out. Consultation was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquire about a series of training that relates to workplace stress, behavior intervention strategies, developmentally appropriate activities and behaviors. It is recommended that administration holds staff meetings monthly to review and address areas of concern within the facility, parent concerns, and provide additional training and resources for staff. It is recommended that staff observations and feedback be conducted for staff quarterly to ensure that staff are using proper techniques to handle children, talking to children appropriately, using positive discipline and reinforcement. It is recommended that staff set clear expectations for their classrooms, implement classroom rules, model positive reinforcement, and use visual aids for children. It is important that staff remain consistent with classroom expectations. • Prior to children using an area of the facility for toileting purposes, it will need to be approved by sanitation and licensing. These areas should also remain in compliance with child care requirements. • If you would like for rooms to be approved for diapering, you will need to contact the sanitation inspector to conduct a visit to approve the diaper changing areas, prior to making these revisions to classrooms. • Child Care Rule 10A NCAC 09 .1719(a)(7) states keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor; • It is recommended that staff communicate daily with families to discuss children’s day, behaviors that may occur, child’s needs, etc. This will ensure the facility has a welcoming environment and open communication with families and the children they serve. The facility has access to the Brightwheel Childcare software app, it is recommended that a tablet device be issued to each classroom for staff to document occurrences for families to be able to view throughout the day. • It is recommended that staff communicate with families to learn about children’s potty-training expectations and toileting routines. Staff should consult with families to see if they would like the child to be placed in pull-ups during rest time. This could be a signed documentation of the parent making this request. We discussed ensuring that staff are meeting the developmental needs of children in care. Consistency at the facility and home will ensure a smooth transition for children who are developmentally ready for toilet training. • It is recommended that the allergy postings be reviewed every six months to ensure that it is current. A revision date can be listed at the bottom to refence that it is current. It is recommended to list all allergies and parent preferences on the list. This list should be posted in each classroom and the kitchen area where food is prepared. If parents opt to provide all meals for their child, a nutrition opt-out form shall be provided to the parent to complete. The nutrition opt-out form shall be kept in the child’s file for review. • It is recommended that staff inquire about training related to nutrition so that all meal items are portioned appropriately as listed in the meal pattern guidelines. The meal pattern guidelines can be found at https://www.fns.usda.gov/cacfp/nutrition-standards. Children should be offered a variety of items. When meals vary from what is listed on the menu, all menus posted should be updated to what is being served. • It is recommended that all staff, including administrative staff, create a verifiable system to document weekly hours worked. Staff should using the clock in/out system • Child Care Rule 10A NCAC 09 .0714(a) states each child care center shall have a child care administrator who shall be responsible for monitoring the program and overseeing administrative duties of the center. This requirement may be met by having one or more persons on site who meet the requirements for a child care administrator as set forth in G.S. 110-91(8) and according to the licensed capacity of the center. The child care administrator shall be on-site in accordance with the following chart: Licensed Capacity Weekly On-Site Hours • Less than 30 children 20 • 30-79 children 25 • 80-199 children 30 • 200 or more children 40 The child care administrator's required weekly hours may include those hours that he or she is off-site due to administrative duties, illness or vacation. (b) One person who meets the requirements for a child care administrator or lead teacher as set forth in G.S. 110-91(8) shall be on site during the center's operating hours, except that a person who is at least 18 years old with at least a high school diploma or its equivalent and who has a minimum of one year's experience working with children in a child care center may be on duty at the beginning or end of the operating day provided that: • (1) no more than 10 children are present; • (2) the staff person has worked in that center for three months; and • (3) the staff person has completed the orientation training required in Rule .1101 of this Section. • It is recommended to continue working with Rachel Lentz, Child Care Health Consultant for training opportunities regarding health and safety policies and practices. She can be reached at by email at rlentz@unc.edu or by phone at 828-544-1532. • It is recommended to continue working with Ashli Elder, Early Childhood Support Coordinator at the Alexander County Partnership for Children. She can be reached by email at ashli@alexanderchildren.org. • It is recommended to continue working with Carden Millsaps, Healthy Social Behaviors Coach. She can be reached by email at cmillsaps@icpyc.org or by phone at 704-929-3980. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1803 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-018L Visit Date: 10/7/2025 Number Present: 46 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 325 Time In: 09:45 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted me with the visit. Derrick Bunton, Board Member, arrived during the visit and I spoke with him during today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. There are allegations of violations of child care requirements regarding discipline. Children were observed during free choice activities, outdoor gross motor play, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. During today’s visit, children were observed being cared for in a nurturing way and staff were using appropriate tones. During today's visit I reviewed the facility's parent handbook, staff handbook, and discipline policy. I spoke with you and asked if you had any concerns regarding discipline. You stated that you did not have any concerns related to the allegation. You stated that some staff mention that you are “too easy” on the children. You were asked how discipline is handled within the facility. You stated that staff use positive discipline, redirect, and have conversations with the children. You stated that if staff are having behavior problems in the classroom and a child is not responding to the staff, staff can take the child to the director’s office. You stated that when a child is brought to you, you allow the child to calm down, and you talk with the child. You stated that you always inform the child of why you are talking to them, why things will need to change, and you also let the child know that you love them. When asked about any incidents of children being talked to in a harsh tone, you stated that you have never raised your voice at a child and that you have not heard any staff members use harsh tones with children. You stated that there is a staff member whose voice carries that may sound loud and there are some children who do not like loud voices. When asked about any incidents of children being handled roughly, you stated that you did not have any concerns and have not witnessed any incidents. I interviewed a selection of staff members during today’s visit. Staff were asked if they had any concerns regarding discipline. Two staff members reported that they did not have any concerns. It was reported that staff use timeout for a few minutes and redirect children when behaviors occur in the classroom. One staff member reported that there are two staff members that are loud, and this has been observed when passing the classrooms or on the playground. It was reported that another staff member can be snippy and short with children. Two additional staff members reported that they did have concerns regarding discipline. It was reported that the same two staff members previously mentioned have been observed using harsh tones with children. It was reported that when a staff member becomes frustrated with the children, the children will be told “that’s a little excessive”, “that is none of your business”, or “sit your butt down” in a harsh tone. It was reported that two staff members have been observed pushing children back down in their chair when getting up from the table when being required to sit down. It was reported that a staff member will grab children by the arm or hand and sling them down. It was reported that there is a staff member that is loud but yells even louder at children. It was reported that a staff member has been observed jerking children by the arm transitioning to or from the playground causing them to fall to the ground, if the staff member feels the child is walking too slow. It was reported that incidents are reported to the director, and the director tells the staff “okay” but nothing is done about the incidents. Staff reported that they have been instructed to not talk to or report incidents or concerns to state representatives. I was able to confirm the allegation based on information received from interviewed staff and written statements provided during today’s visit. Staff members agreed that their statement can be used in court and to testify in court to attest to their written statement if needed. Therefore, the allegation regarding discipline was substantiated. Due to the allegation of discipline being substantiated, an Administrative Action may be issued to the facility. Based on the information provided during today’s visit, there were forty-six children aged zero to four years of age present during today’s visit. The following violation was documented during today’s visit: Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Staff reported that they have observed staff members jerking children by the arm or hand causing them to fall to the ground and staff have been observed pushing children back down to their chairs when they would get up from the table to keep them seated. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. It was reported that staff members have been observed yelling and using harsh tones with children. .1803(a)(9) Technical Assistance was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquiry training referencing the care for infants, toddlers, and preschool children. Administration can hold staff meetings to review the facility’s policies and procedures. Observations and feedback can be provided for staff on an ongoing basis to ensure that staff are using age- appropriate practices and techniques for children. • We discussed posting “talking prompts” around the classroom for staff to reference how to appropriately respond to children. • We discussed coming up with a proactive system for when staff get frustrated while caring for children. They may contact the administrator or support staff to come to relieve them for a few minutes or to assist with calming children who may be displaying challenging behaviors. • It is recommended to reach out to Ashli Elder with the Alexander County Partnership for Children by email at ashli@alexanderchildren.org for training opportunities for all staff. • It is recommended to reach out to Rachel Lentz, Child Care Health Consultant by email at rlentz@unc.edu or by phone 828-544-1532 for training opportunities regarding health and safety policies and practices. • It is recommended to reach out to the Healthy Social Behaviors Coach, NaTasha Peterson, at npeterson@icpyc.org for training opportunities for the facility. • It is recommended that new staff have in-depth orientation when beginning employment. Items listed on the orientation sheet should be reviewed with staff by administrative staff. This will allow new staff the opportunity to ask questions, get clarification on rules and expectations, and have a good understanding of child care requirements. Consultation was provided on the following: • While not an issue today, it was reported that the facility does have issues with staff/child ratio. All classrooms must always remain in staff/child ratio. It is important that staff immediately notify administrative staff when they observe that they are out of staff/child ratio. Staff/child ratio sheets are posted in each classroom for reference. Please be reminded that children one year of age cannot be grouped with children three years of age and older, except for the first and last hour of the operating day. The ratio of the youngest child present must be followed. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 1025-018L Visit Date: 10/7/2025 Number Present: 46 Completed Date: 10/7/2025 Age: From 0 To 4 Total Minutes: 325 Time In: 09:45 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Bonnie Canter, Director, assisted me with the visit. Derrick Bunton, Board Member, arrived during the visit and I spoke with him during today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. There are allegations of violations of child care requirements regarding discipline. Children were observed during free choice activities, outdoor gross motor play, toileting and handwashing routines, infant feedings, lunch, and rest time. Infants were observed receiving care according to their individual needs. During today’s visit, children were observed being cared for in a nurturing way and staff were using appropriate tones. During today's visit I reviewed the facility's parent handbook, staff handbook, and discipline policy. I spoke with you and asked if you had any concerns regarding discipline. You stated that you did not have any concerns related to the allegation. You stated that some staff mention that you are “too easy” on the children. You were asked how discipline is handled within the facility. You stated that staff use positive discipline, redirect, and have conversations with the children. You stated that if staff are having behavior problems in the classroom and a child is not responding to the staff, staff can take the child to the director’s office. You stated that when a child is brought to you, you allow the child to calm down, and you talk with the child. You stated that you always inform the child of why you are talking to them, why things will need to change, and you also let the child know that you love them. When asked about any incidents of children being talked to in a harsh tone, you stated that you have never raised your voice at a child and that you have not heard any staff members use harsh tones with children. You stated that there is a staff member whose voice carries that may sound loud and there are some children who do not like loud voices. When asked about any incidents of children being handled roughly, you stated that you did not have any concerns and have not witnessed any incidents. I interviewed a selection of staff members during today’s visit. Staff were asked if they had any concerns regarding discipline. Two staff members reported that they did not have any concerns. It was reported that staff use timeout for a few minutes and redirect children when behaviors occur in the classroom. One staff member reported that there are two staff members that are loud, and this has been observed when passing the classrooms or on the playground. It was reported that another staff member can be snippy and short with children. Two additional staff members reported that they did have concerns regarding discipline. It was reported that the same two staff members previously mentioned have been observed using harsh tones with children. It was reported that when a staff member becomes frustrated with the children, the children will be told “that’s a little excessive”, “that is none of your business”, or “sit your butt down” in a harsh tone. It was reported that two staff members have been observed pushing children back down in their chair when getting up from the table when being required to sit down. It was reported that a staff member will grab children by the arm or hand and sling them down. It was reported that there is a staff member that is loud but yells even louder at children. It was reported that a staff member has been observed jerking children by the arm transitioning to or from the playground causing them to fall to the ground, if the staff member feels the child is walking too slow. It was reported that incidents are reported to the director, and the director tells the staff “okay” but nothing is done about the incidents. Staff reported that they have been instructed to not talk to or report incidents or concerns to state representatives. I was able to confirm the allegation based on information received from interviewed staff and written statements provided during today’s visit. Staff members agreed that their statement can be used in court and to testify in court to attest to their written statement if needed. Therefore, the allegation regarding discipline was substantiated. Due to the allegation of discipline being substantiated, an Administrative Action may be issued to the facility. Based on the information provided during today’s visit, there were forty-six children aged zero to four years of age present during today’s visit. The following violation was documented during today’s visit: Violation Number Comment Rule 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Staff reported that they have observed staff members jerking children by the arm or hand causing them to fall to the ground and staff have been observed pushing children back down to their chairs when they would get up from the table to keep them seated. .1803(a)(1) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. It was reported that staff members have been observed yelling and using harsh tones with children. .1803(a)(9) Technical Assistance was provided on the following: • Child Care Rule 10A NCAC 09 .1803 states no child shall be subjected to any form of corporal punishment by the owner, operator, director, or staff of any child care center. For purposes of this Rule, "staff" shall mean any regular or substitute caregiver, any volunteer, and any auxiliary personnel, including cooks, secretaries, janitors, maids, or vehicle drivers. The following shall apply at all child care centers: (1) no child shall be handled roughly in any way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. It is recommended that staff inquiry training referencing the care for infants, toddlers, and preschool children. Administration can hold staff meetings to review the facility’s policies and procedures. Observations and feedback can be provided for staff on an ongoing basis to ensure that staff are using age- appropriate practices and techniques for children. • We discussed posting “talking prompts” around the classroom for staff to reference how to appropriately respond to children. • We discussed coming up with a proactive system for when staff get frustrated while caring for children. They may contact the administrator or support staff to come to relieve them for a few minutes or to assist with calming children who may be displaying challenging behaviors. • It is recommended to reach out to Ashli Elder with the Alexander County Partnership for Children by email at ashli@alexanderchildren.org for training opportunities for all staff. • It is recommended to reach out to Rachel Lentz, Child Care Health Consultant by email at rlentz@unc.edu or by phone 828-544-1532 for training opportunities regarding health and safety policies and practices. • It is recommended to reach out to the Healthy Social Behaviors Coach, NaTasha Peterson, at npeterson@icpyc.org for training opportunities for the facility. • It is recommended that new staff have in-depth orientation when beginning employment. Items listed on the orientation sheet should be reviewed with staff by administrative staff. This will allow new staff the opportunity to ask questions, get clarification on rules and expectations, and have a good understanding of child care requirements. Consultation was provided on the following: • While not an issue today, it was reported that the facility does have issues with staff/child ratio. All classrooms must always remain in staff/child ratio. It is important that staff immediately notify administrative staff when they observe that they are out of staff/child ratio. Staff/child ratio sheets are posted in each classroom for reference. Please be reminded that children one year of age cannot be grouped with children three years of age and older, except for the first and last hour of the operating day. The ratio of the youngest child present must be followed. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 44 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unnanonced Visit. You, Bonnie Canter, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on June 18, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the facility was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on September 8, 2025. Emergency drills are being completed every three months as required. A shelter-in-place was completed on August 29, 2025. Your playground meets child care safety standards. The last outdoor playground inspection was completed on September 8, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. One emergency medication and its Medical Action Plan was monitored during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. Clean Water for Carolina Kids documents that the facility has completed the Lead Water, Lead Paint, and Asbestos testing. The facility has not completed the roster within the ABCMS portal. During today's visit, we revisited the Moodle training to sign the PowerForm. Please continue to check your email in the upcoming days for a provider code. The facility does not provide transportation. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was obtained within 12 months and was not submitted to the DCDEE within one week. 10A NCAC 09 .0304(a) 544 Screen time was offered to children under three years of age. In space 4, children under three years of age was offered screen time. .0510(f) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/19/23 First Aid expired on 9/7/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/19/23 CPR expired on 9/7/25. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, a McDonald's cup with tea was sitting on the counter in the classroom. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has not created an ABCMS roster documenting current staff. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed putting a reminder on a calendar to ensure that an annual fire inspection is completed within a year of the previous inspection. Once you receive an inspection, please send it to your consultant within seven days. This was corrected during today’s visit by you providing me with the current inspection. 2. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into a nonlabelled cup with a lid and also consume special items in a disclosed location. 3. We discussed staff referencing the staff file checklist to ensure that all training is completed within the specified timeframe. First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC training are required to be completed within thirty days of hire. 4. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. 5. We discussed that children under three years of age are prohibited from screen time. It is recommended that while staff are getting children ready for lunch by toileting and handwashing, that children are engaged by singing songs, finger plays, story time, music and movement, etc. Children three years of age and older are prohibited to no more than two and a half hours per week of screen time that is limited to thirty minutes per day. All screen time must be documented on a screen time log or the activity plan. This was corrected during the visit by the staff member discontinuing screen time. Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 44 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unnanonced Visit. You, Bonnie Canter, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on June 18, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the facility was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on September 8, 2025. Emergency drills are being completed every three months as required. A shelter-in-place was completed on August 29, 2025. Your playground meets child care safety standards. The last outdoor playground inspection was completed on September 8, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. One emergency medication and its Medical Action Plan was monitored during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. Clean Water for Carolina Kids documents that the facility has completed the Lead Water, Lead Paint, and Asbestos testing. The facility has not completed the roster within the ABCMS portal. During today's visit, we revisited the Moodle training to sign the PowerForm. Please continue to check your email in the upcoming days for a provider code. The facility does not provide transportation. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was obtained within 12 months and was not submitted to the DCDEE within one week. 10A NCAC 09 .0304(a) 544 Screen time was offered to children under three years of age. In space 4, children under three years of age was offered screen time. .0510(f) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/19/23 First Aid expired on 9/7/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/19/23 CPR expired on 9/7/25. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, a McDonald's cup with tea was sitting on the counter in the classroom. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has not created an ABCMS roster documenting current staff. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed putting a reminder on a calendar to ensure that an annual fire inspection is completed within a year of the previous inspection. Once you receive an inspection, please send it to your consultant within seven days. This was corrected during today’s visit by you providing me with the current inspection. 2. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into a nonlabelled cup with a lid and also consume special items in a disclosed location. 3. We discussed staff referencing the staff file checklist to ensure that all training is completed within the specified timeframe. First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC training are required to be completed within thirty days of hire. 4. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. 5. We discussed that children under three years of age are prohibited from screen time. It is recommended that while staff are getting children ready for lunch by toileting and handwashing, that children are engaged by singing songs, finger plays, story time, music and movement, etc. Children three years of age and older are prohibited to no more than two and a half hours per week of screen time that is limited to thirty minutes per day. All screen time must be documented on a screen time log or the activity plan. This was corrected during the visit by the staff member discontinuing screen time. Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 44 Completed Date: 10/1/2025 Age: From 0 To 4 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unnanonced Visit. You, Bonnie Canter, assisted me with today’s visit. The last annual compliance visit was conducted on May 7, 2025. The last sanitation inspection was completed on June 18, 2025, with a “Superior” classification. The last fire inspection was conducted August 14, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the facility was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on September 8, 2025. Emergency drills are being completed every three months as required. A shelter-in-place was completed on August 29, 2025. Your playground meets child care safety standards. The last outdoor playground inspection was completed on September 8, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. One emergency medication and its Medical Action Plan was monitored during today’s visit. All staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. Clean Water for Carolina Kids documents that the facility has completed the Lead Water, Lead Paint, and Asbestos testing. The facility has not completed the roster within the ABCMS portal. During today's visit, we revisited the Moodle training to sign the PowerForm. Please continue to check your email in the upcoming days for a provider code. The facility does not provide transportation. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was obtained within 12 months and was not submitted to the DCDEE within one week. 10A NCAC 09 .0304(a) 544 Screen time was offered to children under three years of age. In space 4, children under three years of age was offered screen time. .0510(f) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/19/23 First Aid expired on 9/7/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/19/23 CPR expired on 9/7/25. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space 2, a McDonald's cup with tea was sitting on the counter in the classroom. .0901(i) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has not created an ABCMS roster documenting current staff. G.S. 110-90.2 & .2703(r) Technical Assistance was provided on the following: 1. We discussed putting a reminder on a calendar to ensure that an annual fire inspection is completed within a year of the previous inspection. Once you receive an inspection, please send it to your consultant within seven days. This was corrected during today’s visit by you providing me with the current inspection. 2. We discussed that staff should model healthy eating and drinking pattens while children are in care. It is recommended that staff pour their items into a nonlabelled cup with a lid and also consume special items in a disclosed location. 3. We discussed staff referencing the staff file checklist to ensure that all training is completed within the specified timeframe. First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment, and BSAC training are required to be completed within thirty days of hire. 4. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. 5. We discussed that children under three years of age are prohibited from screen time. It is recommended that while staff are getting children ready for lunch by toileting and handwashing, that children are engaged by singing songs, finger plays, story time, music and movement, etc. Children three years of age and older are prohibited to no more than two and a half hours per week of screen time that is limited to thirty minutes per day. All screen time must be documented on a screen time log or the activity plan. This was corrected during the visit by the staff member discontinuing screen time. Consultation was provided on the following: • WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: • QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 15, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 59 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on December 19, 2024, with a “Superior” classification. The last fire inspection was conducted July19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on April 30, 2025. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 2, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on April 15, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 2, the activity plan did not included at least 4 different activities. .0508(g)(2) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In space 5, the activity plan did not include a daily gross motor activity. .0508(g)(3) 721 All equipment and furnishings were not in good repair. The fence on the outdoor play areas had visible rust in various places. On the preschool playground the red climber had chipping paint and seated equipment had visible rust. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 6, below five feet, there was two containers of Zep cleaning wipes labeled "keep out of reach of children" and additional warning labels. .2820(b) 847 Parent's medication authorization did not include required information. In space 3, three containers of gas relief drops did not have a permission to administer forms on file for review. 10A NCAC 09 .0803(4)(6-9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 10/3/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be check for all applicable information according to the Child Care Rules. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 3. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 4. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. 5. We discussed that new employees should ensure that all required trainings are completed within the required timeframe. It is important that staff print out their certificates upon completion and place it in their staff file. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 59 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on December 19, 2024, with a “Superior” classification. The last fire inspection was conducted July19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on April 30, 2025. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 2, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on April 15, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 2, the activity plan did not included at least 4 different activities. .0508(g)(2) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In space 5, the activity plan did not include a daily gross motor activity. .0508(g)(3) 721 All equipment and furnishings were not in good repair. The fence on the outdoor play areas had visible rust in various places. On the preschool playground the red climber had chipping paint and seated equipment had visible rust. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 6, below five feet, there was two containers of Zep cleaning wipes labeled "keep out of reach of children" and additional warning labels. .2820(b) 847 Parent's medication authorization did not include required information. In space 3, three containers of gas relief drops did not have a permission to administer forms on file for review. 10A NCAC 09 .0803(4)(6-9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 10/3/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be check for all applicable information according to the Child Care Rules. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 3. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 4. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. 5. We discussed that new employees should ensure that all required trainings are completed within the required timeframe. It is important that staff print out their certificates upon completion and place it in their staff file. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 59 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on December 19, 2024, with a “Superior” classification. The last fire inspection was conducted July19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on April 30, 2025. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 2, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on April 15, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 2, the activity plan did not included at least 4 different activities. .0508(g)(2) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In space 5, the activity plan did not include a daily gross motor activity. .0508(g)(3) 721 All equipment and furnishings were not in good repair. The fence on the outdoor play areas had visible rust in various places. On the preschool playground the red climber had chipping paint and seated equipment had visible rust. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 6, below five feet, there was two containers of Zep cleaning wipes labeled "keep out of reach of children" and additional warning labels. .2820(b) 847 Parent's medication authorization did not include required information. In space 3, three containers of gas relief drops did not have a permission to administer forms on file for review. 10A NCAC 09 .0803(4)(6-9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 10/3/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be check for all applicable information according to the Child Care Rules. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 3. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 4. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. 5. We discussed that new employees should ensure that all required trainings are completed within the required timeframe. It is important that staff print out their certificates upon completion and place it in their staff file. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 59 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on December 19, 2024, with a “Superior” classification. The last fire inspection was conducted July19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on April 30, 2025. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 2, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on April 15, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 2, the activity plan did not included at least 4 different activities. .0508(g)(2) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In space 5, the activity plan did not include a daily gross motor activity. .0508(g)(3) 721 All equipment and furnishings were not in good repair. The fence on the outdoor play areas had visible rust in various places. On the preschool playground the red climber had chipping paint and seated equipment had visible rust. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 6, below five feet, there was two containers of Zep cleaning wipes labeled "keep out of reach of children" and additional warning labels. .2820(b) 847 Parent's medication authorization did not include required information. In space 3, three containers of gas relief drops did not have a permission to administer forms on file for review. 10A NCAC 09 .0803(4)(6-9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 10/3/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be check for all applicable information according to the Child Care Rules. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 3. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 4. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. 5. We discussed that new employees should ensure that all required trainings are completed within the required timeframe. It is important that staff print out their certificates upon completion and place it in their staff file. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/7/2025 Number Present: 59 Completed Date: 5/7/2025 Age: From 0 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on December 19, 2024, with a “Superior” classification. The last fire inspection was conducted July19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, teacher directed activities, toileting and handwashing routines, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The fire last fire drill was completed on April 30, 2025. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 2, 2025. Your outdoor play areas meet child care safety standards. The last outdoor playground inspection was completed on April 15, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The center does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 2, the activity plan did not included at least 4 different activities. .0508(g)(2) 523 The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. In space 5, the activity plan did not include a daily gross motor activity. .0508(g)(3) 721 All equipment and furnishings were not in good repair. The fence on the outdoor play areas had visible rust in various places. On the preschool playground the red climber had chipping paint and seated equipment had visible rust. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 6, below five feet, there was two containers of Zep cleaning wipes labeled "keep out of reach of children" and additional warning labels. .2820(b) 847 Parent's medication authorization did not include required information. In space 3, three containers of gas relief drops did not have a permission to administer forms on file for review. 10A NCAC 09 .0803(4)(6-9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff member hired on 10/3/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prior to topical ointments or medications going to designated classrooms, parents give the medication to the director so that it can be check for all applicable information according to the Child Care Rules. Staff should not accept or use medications without permission to administer forms on file. 2. We discussed contacting The Partnership for Children to assist staff with completing activity plans. Activity plans should include at least four (4) different activities daily and a daily gross motor activity that may be conducted indoors or outdoors. 3. We discussed staff conducting a walkthrough of their classroom prior to caring for children to ensure that all hazardous products are properly stored. Items labeled “keep out of reach of children” and contain additional warning labels must be locked. 4. We discussed that staff should be monitoring their playground areas daily prior to it being used by children to ensure that there is no debris, broken material, and items are in good repair. Items should be free of chipping paint and rust. 5. We discussed that new employees should ensure that all required trainings are completed within the required timeframe. It is important that staff print out their certificates upon completion and place it in their staff file. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 49 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on June 11, 2024, with a “Superior” classification. The last fire inspection was conducted July 19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 99 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, music time, diapering and handwashing procedures, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on October 29, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on October 21, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 29, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. No concerns were observed. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid and CPR, ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment training, during today’s visit. In space 6, Patricia Deters did not have a current Criminal Background Check qualification letter on file for review. The regulatory ABCMS system was reviewed during today’s visit and the staff members qualification letter expired on 11/5/2024. The violation must be corrected within the fifteen (15) days and a copy of the qualification letter must be mailed to the consultant. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 11/12/10 did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance was provided on the following: 1. We discussed that Criminal Background Checks are required to be completed every 5 years. Criminal Background Checks should be renewed before the expiration date of the current letter. It is recommended that staff are aware of their expiration date and complete the process through the ABCMS system prior to the expiration date. Please mail me a copy of the current Criminal Background Check Qualification letter. If the criminal background check is not received within 15 days, the staff member may not return to work until the qualification letter is on file at the facility. Consultation was provided on the following: 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 49 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:45 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Bonnie Canter, Director, assisted me with today’s visit. The last annual compliance visit was conducted on May 29, 2024. The last sanitation inspection was completed on June 11, 2024, with a “Superior” classification. The last fire inspection was conducted July 19, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 99 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, music time, diapering and handwashing procedures, lunch, and rest time. Fire drills were completed monthly as required. The last fire drill was completed on October 29, 2024. Emergency drills are being completed every three months as required. The last emergency drill was completed on October 21, 2024. Your playground meets child care safety standards. The last playground inspection was completed on October 29, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. No concerns were observed. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid and CPR, ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment training, during today’s visit. In space 6, Patricia Deters did not have a current Criminal Background Check qualification letter on file for review. The regulatory ABCMS system was reviewed during today’s visit and the staff members qualification letter expired on 11/5/2024. The violation must be corrected within the fifteen (15) days and a copy of the qualification letter must be mailed to the consultant. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 11/12/10 did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance was provided on the following: 1. We discussed that Criminal Background Checks are required to be completed every 5 years. Criminal Background Checks should be renewed before the expiration date of the current letter. It is recommended that staff are aware of their expiration date and complete the process through the ABCMS system prior to the expiration date. Please mail me a copy of the current Criminal Background Check Qualification letter. If the criminal background check is not received within 15 days, the staff member may not return to work until the qualification letter is on file at the facility. Consultation was provided on the following: 1. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you 2. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 3. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 4. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 5. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 6. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 7. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 28, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 57 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Bonnie Canter, Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 22, 2023. The last sanitation inspection was completed on December 19, 2023, with a “Superior” classification. The last fire inspection was conducted July 18, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaged in free choice activities, teacher directed activities, outdoor play, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 8, 2024. The last outdoor playground inspection was completed on April 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. A staff member hired on 9/30/10 did not have a valid qualification letter on file for review. The ABCMS system was reviewed during today's visit. The staff member is qualified for employment as of April 27, 2022 through April 27, 2027. The following violation was documented during today’s visit. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 9/30/10 did not have a valid qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance was provided on the following: 1. We discussed ensuring that once staff members are requalified through the Criminal Background System, they should print out their new qualification letter and place it in their personnel file. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 2 for resuming the star rated license. July 1, 2024, through June 30, 2025, will be your facility’s planning year. July 1, 2025, through June 30, 2026, will be your facility's reassessment year. 2. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 3. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 4. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facilities materials. 5. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. 6. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 7. We discussed staff putting cots out closer to rest time. This will prevent tripping hazardous and allow walking space throughout the classroom. 8. We discussed reminding staff that once they are finished using rubber gloves to place them at least 5 feet when caring for children under three years of age. 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. A compliance letter is not due at this time. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: MILLERSVILLE CHILD DEVELOPMENT CENTER Facility ID: 02000056 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 57 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Bonnie Canter, Director, assisted us with today’s visit. The last annual compliance visit was conducted on June 22, 2023. The last sanitation inspection was completed on December 19, 2023, with a “Superior” classification. The last fire inspection was conducted July 18, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaged in free choice activities, teacher directed activities, outdoor play, and lunch. Fire drills were completed monthly as required. The last fire drill was completed on April 30, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on March 8, 2024. The last outdoor playground inspection was completed on April 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. A staff member hired on 9/30/10 did not have a valid qualification letter on file for review. The ABCMS system was reviewed during today's visit. The staff member is qualified for employment as of April 27, 2022 through April 27, 2027. The following violation was documented during today’s visit. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A staff member hired on 9/30/10 did not have a valid qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) Technical Assistance was provided on the following: 1. We discussed ensuring that once staff members are requalified through the Criminal Background System, they should print out their new qualification letter and place it in their personnel file. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 2 for resuming the star rated license. July 1, 2024, through June 30, 2025, will be your facility’s planning year. July 1, 2025, through June 30, 2026, will be your facility's reassessment year. 2. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 3. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 4. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facilities materials. 5. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. 6. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire about training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 7. We discussed staff putting cots out closer to rest time. This will prevent tripping hazardous and allow walking space throughout the classroom. 8. We discussed reminding staff that once they are finished using rubber gloves to place them at least 5 feet when caring for children under three years of age. 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. A compliance letter is not due at this time. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times