10A NCAC 09 .0102 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 20 Completed Date: 7/14/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 11:25 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 7, 2024. This facility currently operates with a Five (5) Star License that was issued on September 6, 2023. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility I was greeted by a staff member, who notified the administrator of my arrival. Regine Reid-Berryman soon arrived and assisted me during the visit. I conducted a walkthrough, unaccompanied of the indoor and outdoor learning space. Attendance was taken and observations made. Children were observed participating in the indoor free play, teachers directed small group activities. I observed routines and the lunch service, and the children were observed resting. The center's last Fire Inspection was conducted on May 23, 2025, and was approved for day time care only. The center's Last Sanitation inspection was conducted on March 20, 2025, and a 'Superior' classification was assigned. During today's visit, a full assessment of applicable child care requirements was conducted. These included supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical health assessment was not available for Division Representative Review.** GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. **Documentation of immunizations was not available for Division Representative Review.** 10A NCAC 09 .0302(d)(2) 1955 The child care center was not free of lead poisoning hazards as defined in G.S. 1130A-131.7(7). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) 1959 The child care center was not free of asbestos hazards as defined in G.S. 130A-444(2) and 10A NCAC 09 .0102(4). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) The above violations must be corrected immediately. A letter must be drafted listing each violation item number and stating when and how they were corrected. Please submit the letter by e-mailed to; anita.c.graham@dhhs.nc.gov. The letter should reach my office by or before, July 28, 2025. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by July 28, 2025, a return visit may be necessary to ensure that the violations have been adequately addressed and corrected. Additional violations may be documented if each violation has not been addressed. You were provided with an opportunity to ask questions regarding child care requirements. We discussed each of the violations cited this date. You had questions about accessing the ABCMS Provider portal. I assisted you in accessing the portal, and you have scheduled a webinar for the training on that system. We discussed clean water for North Carolina Kids. You have stated that you are unsure if this testing has been completed prior to you taking on this position as Administrator. We accessed that Homepage today and a webinar has been scheduled. TECHNICAL ASSISTANCE: Please be advised that all programs must complete a clean water test annually as well as the lead and asbestos testing must be conducted, as required by the State. Records of these items must be kept on site and available for Division Representative Review. Prior to enrollment all children’s records should contain a copy of the medical assessment and the immunization records on file at the center. RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. Health and Safety Trainings are offered on the DCDEE Moodle format. These training courses are free, and participants will receive training certificates when completing the training and a survey of the training. -Other important training courses regarding the new QRIS ITERS and ECERS 3 assessment training can be found on the NCRLAP.org website. Please print all certificates and maintain them for your records. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 20 Completed Date: 7/14/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 11:25 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 7, 2024. This facility currently operates with a Five (5) Star License that was issued on September 6, 2023. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility I was greeted by a staff member, who notified the administrator of my arrival. Regine Reid-Berryman soon arrived and assisted me during the visit. I conducted a walkthrough, unaccompanied of the indoor and outdoor learning space. Attendance was taken and observations made. Children were observed participating in the indoor free play, teachers directed small group activities. I observed routines and the lunch service, and the children were observed resting. The center's last Fire Inspection was conducted on May 23, 2025, and was approved for day time care only. The center's Last Sanitation inspection was conducted on March 20, 2025, and a 'Superior' classification was assigned. During today's visit, a full assessment of applicable child care requirements was conducted. These included supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical health assessment was not available for Division Representative Review.** GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. **Documentation of immunizations was not available for Division Representative Review.** 10A NCAC 09 .0302(d)(2) 1955 The child care center was not free of lead poisoning hazards as defined in G.S. 1130A-131.7(7). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) 1959 The child care center was not free of asbestos hazards as defined in G.S. 130A-444(2) and 10A NCAC 09 .0102(4). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) The above violations must be corrected immediately. A letter must be drafted listing each violation item number and stating when and how they were corrected. Please submit the letter by e-mailed to; anita.c.graham@dhhs.nc.gov. The letter should reach my office by or before, July 28, 2025. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by July 28, 2025, a return visit may be necessary to ensure that the violations have been adequately addressed and corrected. Additional violations may be documented if each violation has not been addressed. You were provided with an opportunity to ask questions regarding child care requirements. We discussed each of the violations cited this date. You had questions about accessing the ABCMS Provider portal. I assisted you in accessing the portal, and you have scheduled a webinar for the training on that system. We discussed clean water for North Carolina Kids. You have stated that you are unsure if this testing has been completed prior to you taking on this position as Administrator. We accessed that Homepage today and a webinar has been scheduled. TECHNICAL ASSISTANCE: Please be advised that all programs must complete a clean water test annually as well as the lead and asbestos testing must be conducted, as required by the State. Records of these items must be kept on site and available for Division Representative Review. Prior to enrollment all children’s records should contain a copy of the medical assessment and the immunization records on file at the center. RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. Health and Safety Trainings are offered on the DCDEE Moodle format. These training courses are free, and participants will receive training certificates when completing the training and a survey of the training. -Other important training courses regarding the new QRIS ITERS and ECERS 3 assessment training can be found on the NCRLAP.org website. Please print all certificates and maintain them for your records. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 20 Completed Date: 7/14/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 11:25 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 7, 2024. This facility currently operates with a Five (5) Star License that was issued on September 6, 2023. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility I was greeted by a staff member, who notified the administrator of my arrival. Regine Reid-Berryman soon arrived and assisted me during the visit. I conducted a walkthrough, unaccompanied of the indoor and outdoor learning space. Attendance was taken and observations made. Children were observed participating in the indoor free play, teachers directed small group activities. I observed routines and the lunch service, and the children were observed resting. The center's last Fire Inspection was conducted on May 23, 2025, and was approved for day time care only. The center's Last Sanitation inspection was conducted on March 20, 2025, and a 'Superior' classification was assigned. During today's visit, a full assessment of applicable child care requirements was conducted. These included supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical health assessment was not available for Division Representative Review.** GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. **Documentation of immunizations was not available for Division Representative Review.** 10A NCAC 09 .0302(d)(2) 1955 The child care center was not free of lead poisoning hazards as defined in G.S. 1130A-131.7(7). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) 1959 The child care center was not free of asbestos hazards as defined in G.S. 130A-444(2) and 10A NCAC 09 .0102(4). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) The above violations must be corrected immediately. A letter must be drafted listing each violation item number and stating when and how they were corrected. Please submit the letter by e-mailed to; anita.c.graham@dhhs.nc.gov. The letter should reach my office by or before, July 28, 2025. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by July 28, 2025, a return visit may be necessary to ensure that the violations have been adequately addressed and corrected. Additional violations may be documented if each violation has not been addressed. You were provided with an opportunity to ask questions regarding child care requirements. We discussed each of the violations cited this date. You had questions about accessing the ABCMS Provider portal. I assisted you in accessing the portal, and you have scheduled a webinar for the training on that system. We discussed clean water for North Carolina Kids. You have stated that you are unsure if this testing has been completed prior to you taking on this position as Administrator. We accessed that Homepage today and a webinar has been scheduled. TECHNICAL ASSISTANCE: Please be advised that all programs must complete a clean water test annually as well as the lead and asbestos testing must be conducted, as required by the State. Records of these items must be kept on site and available for Division Representative Review. Prior to enrollment all children’s records should contain a copy of the medical assessment and the immunization records on file at the center. RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. Health and Safety Trainings are offered on the DCDEE Moodle format. These training courses are free, and participants will receive training certificates when completing the training and a survey of the training. -Other important training courses regarding the new QRIS ITERS and ECERS 3 assessment training can be found on the NCRLAP.org website. Please print all certificates and maintain them for your records. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 7/14/2025 Number Present: 20 Completed Date: 7/14/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 11:25 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 7, 2024. This facility currently operates with a Five (5) Star License that was issued on September 6, 2023. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility I was greeted by a staff member, who notified the administrator of my arrival. Regine Reid-Berryman soon arrived and assisted me during the visit. I conducted a walkthrough, unaccompanied of the indoor and outdoor learning space. Attendance was taken and observations made. Children were observed participating in the indoor free play, teachers directed small group activities. I observed routines and the lunch service, and the children were observed resting. The center's last Fire Inspection was conducted on May 23, 2025, and was approved for day time care only. The center's Last Sanitation inspection was conducted on March 20, 2025, and a 'Superior' classification was assigned. During today's visit, a full assessment of applicable child care requirements was conducted. These included supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. **Documentation of medical health assessment was not available for Division Representative Review.** GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. **Documentation of immunizations was not available for Division Representative Review.** 10A NCAC 09 .0302(d)(2) 1955 The child care center was not free of lead poisoning hazards as defined in G.S. 1130A-131.7(7). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) 1959 The child care center was not free of asbestos hazards as defined in G.S. 130A-444(2) and 10A NCAC 09 .0102(4). **Documentation of testing was not available for Division Representative Review.** 10A NCAC 09 .0601(f) The above violations must be corrected immediately. A letter must be drafted listing each violation item number and stating when and how they were corrected. Please submit the letter by e-mailed to; anita.c.graham@dhhs.nc.gov. The letter should reach my office by or before, July 28, 2025. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by July 28, 2025, a return visit may be necessary to ensure that the violations have been adequately addressed and corrected. Additional violations may be documented if each violation has not been addressed. You were provided with an opportunity to ask questions regarding child care requirements. We discussed each of the violations cited this date. You had questions about accessing the ABCMS Provider portal. I assisted you in accessing the portal, and you have scheduled a webinar for the training on that system. We discussed clean water for North Carolina Kids. You have stated that you are unsure if this testing has been completed prior to you taking on this position as Administrator. We accessed that Homepage today and a webinar has been scheduled. TECHNICAL ASSISTANCE: Please be advised that all programs must complete a clean water test annually as well as the lead and asbestos testing must be conducted, as required by the State. Records of these items must be kept on site and available for Division Representative Review. Prior to enrollment all children’s records should contain a copy of the medical assessment and the immunization records on file at the center. RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. Health and Safety Trainings are offered on the DCDEE Moodle format. These training courses are free, and participants will receive training certificates when completing the training and a survey of the training. -Other important training courses regarding the new QRIS ITERS and ECERS 3 assessment training can be found on the NCRLAP.org website. Please print all certificates and maintain them for your records. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: 0225-198L Visit Date: 2/26/2025 Number Present: 15 Completed Date: 2/26/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 10:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit has been to investigate allegations of noncompliance with childcare requirements. Upon arrival at the facility, I was greeted by the administrator, Ms. Berryman. I stated the purpose of my visit, and we conducted a walkthrough of the facility. The children were observed participating in indoor and outdoor free play and having lunch. ALLEGATION: There is a concern regarding noncompliance with permit restrictions OBSERVATION: I discussed the allegation of school-aged children who are not currently enrolled, being dropped off at the center periodically. I interviewed two staff members who have stated that just in the last month the staff have been faced with caring for children who are not on enrollment. The three school-age children were dropped off for care without prior notice or permission to do so. It was stated that these families were verbally informed about the facility’s concern with non-compliance with childcare rules. I interviewed the administrator who stated that she verbally raised the issue with the families, to explain that having the proper paperwork for the children was a state requirement, as well as the requirement to have staff who are trained in Basic School-Age Care (BSAC). She stated that she finally raised her concern in writing by submitting an email to the families, stating the childcare rules regarding these matters. The parents did return to the center to pick up the children after the email was sent. CONCLUSION: Based on interviews with the staff this allegation is SUBSTANTIATED. The following violations were cited on this date. Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. **Children were cared for at this location without the required information.** GS 110-91(1);.0302(d)(2); .0304(g) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. **When children, not enrolled in the program were dropped-in for care, staff members left responsible to care for the drop-in school-agers were not trained in BSAC.** .2510(c) The above violations must be corrected immediately and a letter drafted stating how you plan to maintain compliance with childcare requirements regarding caring for school-aged children. Please submit the letter to my office on or before March 12, 2025. You may submit the letter to anita.c.graham@dhhs.nc.gov. If the letter does not reach my office by March 12, 2025, a return visit may be necessary to ensure compliance with the requirements. TECHNICAL ASSISTANCE: When children are cared for at this facility all requirements for children’s records must be on site. This includes when children are enrolled as drop-ins only. Staff who are responsible for caring for children who are school-age must be trained in BASIC SCHOOL-AGE CARE (BSAC). You will locate this remote training through your local partnership or through the Southwestern Child Care Commission. You have stated that you began your position as administrator in October 2024. When you took this position in October, there were no school-age children enrolled. Since you did not have the BSAC training, you have not enrolled school-age children, though the facility permit will allow children up to age twelve (12). You have stated that there are plans to enroll school-age children, once you have enough staff, and once you and the staff have completed the BSAC training. If you have any questions or concerns, you may contact me, at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 11 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 08:50 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct Routine monitoring. The last annual compliance monitoring was conducted on August 7, 2024. Upon arrival at the facility, I was greeted by the administrator Regine Reid. I stated that the purpose of my visit. Ms. Reid accompanied me on a walkthrough of the facility. A partial assessment was conducted on this date. I monitored program requirements, program records, staff records, staff/child ratio, supervision, medications and hazardous products, and general safety. This program is under Administrative Action and the Notice of Action was posted in a prominent area visible to parents and others visiting the center. The last Fire Inspection was conducted on March 15, 2025, and was approved for daytime care only. The last Sanitation Inspection was conducted on October 23, 2024 and a Superior classification was achieved. The following violations were observed cited and technical assistance was offered. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Four children who are two(2) years old, two children who are three(3) years old, one child who is four(4) years old and one child who is five(5) years old were grouped together in the same classroom. At the time of this observation, it was not the first nor the last hour of the operation day. 10A NCAC 09 .0713(a)(6) 807 A safe indoor and outdoor environment was not provided for the children. A playground structure on the outdoor learning space for children who are two years old was not properly secured. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Two staff members who were present and serving in the classroom has qualifying status letters that are in process but not completed. G.S. 110-90.2(b) The above violations must be corrected immediately. A signed and dated letter of compliance with facility name, ID number and electronic signature must be received by my office on or before, February 18, 2025. The compliance letter should describe how and when the violations were corrected. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to anita.c.graham@dhhs.nc.gov. If the letter is not received by February 18, 2025, and/or if you do not address all violations, a return visit may be conducted to monitor for compliance with childcare requirements and/or to obtain your compliance letter. Additional violations may be documented if the items have not been corrected or addressed. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the violations documented this date. TECHNICAL ASSISTANCE: The two staff members present today each have “in process” status on the ABCMS portal and must not care for children until the process is complete and they each have an approved qualifying letter. We discussed that the “Mushroom playground structure will be re-located to an area away from the playground until maintenance can properly secure the structure. You have stated that maintenance was called and are prepared to re-locate the structure today. Children should not play on this structure until it is properly secured. Thank you for your assistance during today's visit. If you have any questions or concerns you may contact me anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 11 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 08:50 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct Routine monitoring. The last annual compliance monitoring was conducted on August 7, 2024. Upon arrival at the facility, I was greeted by the administrator Regine Reid. I stated that the purpose of my visit. Ms. Reid accompanied me on a walkthrough of the facility. A partial assessment was conducted on this date. I monitored program requirements, program records, staff records, staff/child ratio, supervision, medications and hazardous products, and general safety. This program is under Administrative Action and the Notice of Action was posted in a prominent area visible to parents and others visiting the center. The last Fire Inspection was conducted on March 15, 2025, and was approved for daytime care only. The last Sanitation Inspection was conducted on October 23, 2024 and a Superior classification was achieved. The following violations were observed cited and technical assistance was offered. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Four children who are two(2) years old, two children who are three(3) years old, one child who is four(4) years old and one child who is five(5) years old were grouped together in the same classroom. At the time of this observation, it was not the first nor the last hour of the operation day. 10A NCAC 09 .0713(a)(6) 807 A safe indoor and outdoor environment was not provided for the children. A playground structure on the outdoor learning space for children who are two years old was not properly secured. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Two staff members who were present and serving in the classroom has qualifying status letters that are in process but not completed. G.S. 110-90.2(b) The above violations must be corrected immediately. A signed and dated letter of compliance with facility name, ID number and electronic signature must be received by my office on or before, February 18, 2025. The compliance letter should describe how and when the violations were corrected. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to anita.c.graham@dhhs.nc.gov. If the letter is not received by February 18, 2025, and/or if you do not address all violations, a return visit may be conducted to monitor for compliance with childcare requirements and/or to obtain your compliance letter. Additional violations may be documented if the items have not been corrected or addressed. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the violations documented this date. TECHNICAL ASSISTANCE: The two staff members present today each have “in process” status on the ABCMS portal and must not care for children until the process is complete and they each have an approved qualifying letter. We discussed that the “Mushroom playground structure will be re-located to an area away from the playground until maintenance can properly secure the structure. You have stated that maintenance was called and are prepared to re-locate the structure today. Children should not play on this structure until it is properly secured. Thank you for your assistance during today's visit. If you have any questions or concerns you may contact me anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 11 Completed Date: 2/3/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 08:50 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to conduct Routine monitoring. The last annual compliance monitoring was conducted on August 7, 2024. Upon arrival at the facility, I was greeted by the administrator Regine Reid. I stated that the purpose of my visit. Ms. Reid accompanied me on a walkthrough of the facility. A partial assessment was conducted on this date. I monitored program requirements, program records, staff records, staff/child ratio, supervision, medications and hazardous products, and general safety. This program is under Administrative Action and the Notice of Action was posted in a prominent area visible to parents and others visiting the center. The last Fire Inspection was conducted on March 15, 2025, and was approved for daytime care only. The last Sanitation Inspection was conducted on October 23, 2024 and a Superior classification was achieved. The following violations were observed cited and technical assistance was offered. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Four children who are two(2) years old, two children who are three(3) years old, one child who is four(4) years old and one child who is five(5) years old were grouped together in the same classroom. At the time of this observation, it was not the first nor the last hour of the operation day. 10A NCAC 09 .0713(a)(6) 807 A safe indoor and outdoor environment was not provided for the children. A playground structure on the outdoor learning space for children who are two years old was not properly secured. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Two staff members who were present and serving in the classroom has qualifying status letters that are in process but not completed. G.S. 110-90.2(b) The above violations must be corrected immediately. A signed and dated letter of compliance with facility name, ID number and electronic signature must be received by my office on or before, February 18, 2025. The compliance letter should describe how and when the violations were corrected. All requested documentation must accompany the Corrective Action Letter. The letter can be emailed to anita.c.graham@dhhs.nc.gov. If the letter is not received by February 18, 2025, and/or if you do not address all violations, a return visit may be conducted to monitor for compliance with childcare requirements and/or to obtain your compliance letter. Additional violations may be documented if the items have not been corrected or addressed. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the violations documented this date. TECHNICAL ASSISTANCE: The two staff members present today each have “in process” status on the ABCMS portal and must not care for children until the process is complete and they each have an approved qualifying letter. We discussed that the “Mushroom playground structure will be re-located to an area away from the playground until maintenance can properly secure the structure. You have stated that maintenance was called and are prepared to re-locate the structure today. Children should not play on this structure until it is properly secured. Thank you for your assistance during today's visit. If you have any questions or concerns you may contact me anita.c.graham@dhhs.nc.gov. You may also contact my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 12 Completed Date: 8/7/2024 Age: From 1 To 7 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 15, 2023. The facility currently operates with a Five (5) Star License that was issued on February 4, 2020. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility, I was greeted by a staff member. The administrator, Susan Mathews was present and assisted me during today’s visit. We conducted a walkthrough of the facility and the playground. Attendance was taken and observations made. Children were observed participating in the following activities: indoor free play, teacher directed activities, routines and preparing for lunch. The center's last Fire Inspection was conducted on March 15, 2024 and was approved for day time care only. The center's Last Sanitation inspection was conducted on April 4, 2024, and a 'Superior' classification was received. During today's visit, a full assessment of applicable child care requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In the classroom with children who are 2 and 3 years old, the staff member did not wash their hands between each diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. The children’s hands were not washed after each diaper change. 15A NCAC 18A .2803(c)(2) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member medical report and TB test results were not completed prior to hire. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members had not updated the annual health questionnaire. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in March 2024 did not complete First Aid training within 90 days of hire. .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 in March 2024 did not complete CPR training within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the number of require on-going trainings. .1103(a) 1314 Emergency information did not name Child's health care professional. Three children’s records did not contain Hospital Preference in case of an emergency. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. one child’s file did not contain a medical exam GS110-91(1) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. The staff member responsible for the school-age group has not completed BSAC Training. 10A NCAC 09 .2510(f) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 21, 2024. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 21, 2024, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2510 STAFF QUALIFICATIONS (a) The individual who is responsible for ensuring the administration of the program, whether on-site or off-site, shall: (1) Prior to employment, have at least: (b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter. (e) The individual who is on-site and responsible for the administration of the school-age component of a center which also provides care to preschool-age children, shall meet the requirements for child care administrator in G.S. 110-91(8) and Rule .0704 of this Chapter. (f) When an individual has responsibility for both administering the program and planning and ensuring the implementation of the daily activities of a school-age program, the individual shall meet the staff requirements for an administrator and shall complete the BSAC training. (2)(D) successfully complete CPR and First Aid training appropriate for the ages of children in care; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION ( All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Health Questionnaire Rules .0302(d)(1)(C) and .0701(a) Staff Medical Report Rules .0302(d)(1)(C) and .0701(a) Record of On-going Training Rules .0302(d)(1)(D), and .1103(a RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. you will see In-Service Training options. -The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2318 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 12 Completed Date: 8/7/2024 Age: From 1 To 7 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 15, 2023. The facility currently operates with a Five (5) Star License that was issued on February 4, 2020. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility, I was greeted by a staff member. The administrator, Susan Mathews was present and assisted me during today’s visit. We conducted a walkthrough of the facility and the playground. Attendance was taken and observations made. Children were observed participating in the following activities: indoor free play, teacher directed activities, routines and preparing for lunch. The center's last Fire Inspection was conducted on March 15, 2024 and was approved for day time care only. The center's Last Sanitation inspection was conducted on April 4, 2024, and a 'Superior' classification was received. During today's visit, a full assessment of applicable child care requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In the classroom with children who are 2 and 3 years old, the staff member did not wash their hands between each diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. The children’s hands were not washed after each diaper change. 15A NCAC 18A .2803(c)(2) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member medical report and TB test results were not completed prior to hire. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members had not updated the annual health questionnaire. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in March 2024 did not complete First Aid training within 90 days of hire. .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 in March 2024 did not complete CPR training within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the number of require on-going trainings. .1103(a) 1314 Emergency information did not name Child's health care professional. Three children’s records did not contain Hospital Preference in case of an emergency. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. one child’s file did not contain a medical exam GS110-91(1) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. The staff member responsible for the school-age group has not completed BSAC Training. 10A NCAC 09 .2510(f) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 21, 2024. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 21, 2024, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2510 STAFF QUALIFICATIONS (a) The individual who is responsible for ensuring the administration of the program, whether on-site or off-site, shall: (1) Prior to employment, have at least: (b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter. (e) The individual who is on-site and responsible for the administration of the school-age component of a center which also provides care to preschool-age children, shall meet the requirements for child care administrator in G.S. 110-91(8) and Rule .0704 of this Chapter. (f) When an individual has responsibility for both administering the program and planning and ensuring the implementation of the daily activities of a school-age program, the individual shall meet the staff requirements for an administrator and shall complete the BSAC training. (2)(D) successfully complete CPR and First Aid training appropriate for the ages of children in care; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION ( All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Health Questionnaire Rules .0302(d)(1)(C) and .0701(a) Staff Medical Report Rules .0302(d)(1)(C) and .0701(a) Record of On-going Training Rules .0302(d)(1)(D), and .1103(a RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. you will see In-Service Training options. -The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2510 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 12 Completed Date: 8/7/2024 Age: From 1 To 7 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 15, 2023. The facility currently operates with a Five (5) Star License that was issued on February 4, 2020. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility, I was greeted by a staff member. The administrator, Susan Mathews was present and assisted me during today’s visit. We conducted a walkthrough of the facility and the playground. Attendance was taken and observations made. Children were observed participating in the following activities: indoor free play, teacher directed activities, routines and preparing for lunch. The center's last Fire Inspection was conducted on March 15, 2024 and was approved for day time care only. The center's Last Sanitation inspection was conducted on April 4, 2024, and a 'Superior' classification was received. During today's visit, a full assessment of applicable child care requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In the classroom with children who are 2 and 3 years old, the staff member did not wash their hands between each diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. The children’s hands were not washed after each diaper change. 15A NCAC 18A .2803(c)(2) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member medical report and TB test results were not completed prior to hire. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members had not updated the annual health questionnaire. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in March 2024 did not complete First Aid training within 90 days of hire. .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 in March 2024 did not complete CPR training within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the number of require on-going trainings. .1103(a) 1314 Emergency information did not name Child's health care professional. Three children’s records did not contain Hospital Preference in case of an emergency. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. one child’s file did not contain a medical exam GS110-91(1) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. The staff member responsible for the school-age group has not completed BSAC Training. 10A NCAC 09 .2510(f) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 21, 2024. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 21, 2024, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2510 STAFF QUALIFICATIONS (a) The individual who is responsible for ensuring the administration of the program, whether on-site or off-site, shall: (1) Prior to employment, have at least: (b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter. (e) The individual who is on-site and responsible for the administration of the school-age component of a center which also provides care to preschool-age children, shall meet the requirements for child care administrator in G.S. 110-91(8) and Rule .0704 of this Chapter. (f) When an individual has responsibility for both administering the program and planning and ensuring the implementation of the daily activities of a school-age program, the individual shall meet the staff requirements for an administrator and shall complete the BSAC training. (2)(D) successfully complete CPR and First Aid training appropriate for the ages of children in care; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION ( All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Health Questionnaire Rules .0302(d)(1)(C) and .0701(a) Staff Medical Report Rules .0302(d)(1)(C) and .0701(a) Record of On-going Training Rules .0302(d)(1)(D), and .1103(a RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. you will see In-Service Training options. -The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 12 Completed Date: 8/7/2024 Age: From 1 To 7 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 15, 2023. The facility currently operates with a Five (5) Star License that was issued on February 4, 2020. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility, I was greeted by a staff member. The administrator, Susan Mathews was present and assisted me during today’s visit. We conducted a walkthrough of the facility and the playground. Attendance was taken and observations made. Children were observed participating in the following activities: indoor free play, teacher directed activities, routines and preparing for lunch. The center's last Fire Inspection was conducted on March 15, 2024 and was approved for day time care only. The center's Last Sanitation inspection was conducted on April 4, 2024, and a 'Superior' classification was received. During today's visit, a full assessment of applicable child care requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In the classroom with children who are 2 and 3 years old, the staff member did not wash their hands between each diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. The children’s hands were not washed after each diaper change. 15A NCAC 18A .2803(c)(2) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member medical report and TB test results were not completed prior to hire. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members had not updated the annual health questionnaire. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in March 2024 did not complete First Aid training within 90 days of hire. .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 in March 2024 did not complete CPR training within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the number of require on-going trainings. .1103(a) 1314 Emergency information did not name Child's health care professional. Three children’s records did not contain Hospital Preference in case of an emergency. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. one child’s file did not contain a medical exam GS110-91(1) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. The staff member responsible for the school-age group has not completed BSAC Training. 10A NCAC 09 .2510(f) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 21, 2024. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 21, 2024, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2510 STAFF QUALIFICATIONS (a) The individual who is responsible for ensuring the administration of the program, whether on-site or off-site, shall: (1) Prior to employment, have at least: (b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter. (e) The individual who is on-site and responsible for the administration of the school-age component of a center which also provides care to preschool-age children, shall meet the requirements for child care administrator in G.S. 110-91(8) and Rule .0704 of this Chapter. (f) When an individual has responsibility for both administering the program and planning and ensuring the implementation of the daily activities of a school-age program, the individual shall meet the staff requirements for an administrator and shall complete the BSAC training. (2)(D) successfully complete CPR and First Aid training appropriate for the ages of children in care; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION ( All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Health Questionnaire Rules .0302(d)(1)(C) and .0701(a) Staff Medical Report Rules .0302(d)(1)(C) and .0701(a) Record of On-going Training Rules .0302(d)(1)(D), and .1103(a RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. you will see In-Service Training options. -The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 12 Completed Date: 8/7/2024 Age: From 1 To 7 Total Minutes: 275 Time In: 08:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 15, 2023. The facility currently operates with a Five (5) Star License that was issued on February 4, 2020. A check of the Secretary of State’s website shows the Non-Profit Corporation as Current-Active. Upon arrival to the facility, I was greeted by a staff member. The administrator, Susan Mathews was present and assisted me during today’s visit. We conducted a walkthrough of the facility and the playground. Attendance was taken and observations made. Children were observed participating in the following activities: indoor free play, teacher directed activities, routines and preparing for lunch. The center's last Fire Inspection was conducted on March 15, 2024 and was approved for day time care only. The center's Last Sanitation inspection was conducted on April 4, 2024, and a 'Superior' classification was received. During today's visit, a full assessment of applicable child care requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 404 All staff did not wash their hands thoroughly after diapering each child. In the classroom with children who are 2 and 3 years old, the staff member did not wash their hands between each diaper change. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. The children’s hands were not washed after each diaper change. 15A NCAC 18A .2803(c)(2) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member medical report and TB test results were not completed prior to hire. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two staff members had not updated the annual health questionnaire. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired in March 2024 did not complete First Aid training within 90 days of hire. .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 in March 2024 did not complete CPR training within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member did not complete the number of require on-going trainings. .1103(a) 1314 Emergency information did not name Child's health care professional. Three children’s records did not contain Hospital Preference in case of an emergency. .0802(c)(2) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. one child’s file did not contain a medical exam GS110-91(1) 1441 An individual responsible for both administering the program and planning and ensuring the implementation of the daily activities did not meet requirements for an administrator and/or complete BSAC training. The staff member responsible for the school-age group has not completed BSAC Training. 10A NCAC 09 .2510(f) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 21, 2024. Please include your facility name, facility ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 21, 2024, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .2510 STAFF QUALIFICATIONS (a) The individual who is responsible for ensuring the administration of the program, whether on-site or off-site, shall: (1) Prior to employment, have at least: (b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter. (e) The individual who is on-site and responsible for the administration of the school-age component of a center which also provides care to preschool-age children, shall meet the requirements for child care administrator in G.S. 110-91(8) and Rule .0704 of this Chapter. (f) When an individual has responsibility for both administering the program and planning and ensuring the implementation of the daily activities of a school-age program, the individual shall meet the staff requirements for an administrator and shall complete the BSAC training. (2)(D) successfully complete CPR and First Aid training appropriate for the ages of children in care; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION ( All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Health Questionnaire Rules .0302(d)(1)(C) and .0701(a) Staff Medical Report Rules .0302(d)(1)(C) and .0701(a) Record of On-going Training Rules .0302(d)(1)(D), and .1103(a RESOURCES: https://nrckids.org/CFOC https://ncchildcare.ncdhhs.gov/ https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d For information about rule changes, visit the Division’s website at ncchildcare.ncdhhs.gov and look under the “What’s” Tab. Also, under the “SERVICES” tab look for “DCDEE Moodle”. From the Moodle home screen go to “My Courses”; and then click on the modules. you will see In-Service Training options. -The Health and Safety Trainings are also offered on the DCDEE Moodle format. These trainings are free, and participants will receive training certificates when completed. -For other upcoming training opportunities please visit CCSA’s website at: https://www.childcareservices.org/programs/ccrr/professional-development. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during the visit. If you have questions, please contact me at 336-894-0609 or by e-mail at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 11 Completed Date: 8/15/2023 Age: From 0 To 2 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 24, 2022. The facility currently operates with a five (5) star license that was issued on February 4, 2020. Upon arrival to the facility, I was greeted by a staff member who informed me that the administrator was running an errand. The administrator was notified of my arrival and soon returned to the school and assisted me during the visit. Attendance was taken and observations made. Children were observed participating in the following activities: outdoor play, preparing for lunch, routines and resting. A group of children who are three, four and Five years old are on a field trip today. The center's last fire inspection was conducted on March 14, 2023 and was approved for day time care only. The center's last sanitation inspection was conducted on January 23, 2023, and a 'Superior' classification was received. During today's visit, a full assessment of applicable Child Care Requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plans were not posted in a classroom with children who are three and four years old. Plans were present through May 2023. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was no thermometer present to access refrigerator temperature. 15A NCAC 18A .2806(j)(2) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In a classroom with children who are 2-3 years old, cots were not properly spaced. Sheets and blankets were observed touching several cots. 15A NCAC 18A .2821(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In a classroom with children who are 2-3 years old, an electrical socket was observed uncovered while not in use. 10A NCAC 09 .0604(c) 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 a classroom with children who are 2-3 years old, an aerosol spray can, disinfectant wipes and disinfectant were observed in unlocked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In a classroom with children who are 2-3 years old children, Albuterol was not in its original container. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In a classroom with children who are 2-3 years old, permission to administer medications, expired medications and sunscreen was observed in medicine storage. .0803(12) 1314 Emergency information did not name Child's health care professional. Information for emergency health professional was not provided for two students. .0802(c)(2) 1916 Written permission was not given by parent for child to participate in aquatic activity. a group of children ages 3-5 years old were on an aquatic field trip. Yet the school did not have and aquatic policy signed by parents. .1403(i) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 29, 2023. Please include your facility name, ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 29, 2023, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. RESOURCES -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 11 Completed Date: 8/15/2023 Age: From 0 To 2 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 24, 2022. The facility currently operates with a five (5) star license that was issued on February 4, 2020. Upon arrival to the facility, I was greeted by a staff member who informed me that the administrator was running an errand. The administrator was notified of my arrival and soon returned to the school and assisted me during the visit. Attendance was taken and observations made. Children were observed participating in the following activities: outdoor play, preparing for lunch, routines and resting. A group of children who are three, four and Five years old are on a field trip today. The center's last fire inspection was conducted on March 14, 2023 and was approved for day time care only. The center's last sanitation inspection was conducted on January 23, 2023, and a 'Superior' classification was received. During today's visit, a full assessment of applicable Child Care Requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plans were not posted in a classroom with children who are three and four years old. Plans were present through May 2023. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was no thermometer present to access refrigerator temperature. 15A NCAC 18A .2806(j)(2) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In a classroom with children who are 2-3 years old, cots were not properly spaced. Sheets and blankets were observed touching several cots. 15A NCAC 18A .2821(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In a classroom with children who are 2-3 years old, an electrical socket was observed uncovered while not in use. 10A NCAC 09 .0604(c) 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 a classroom with children who are 2-3 years old, an aerosol spray can, disinfectant wipes and disinfectant were observed in unlocked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In a classroom with children who are 2-3 years old children, Albuterol was not in its original container. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In a classroom with children who are 2-3 years old, permission to administer medications, expired medications and sunscreen was observed in medicine storage. .0803(12) 1314 Emergency information did not name Child's health care professional. Information for emergency health professional was not provided for two students. .0802(c)(2) 1916 Written permission was not given by parent for child to participate in aquatic activity. a group of children ages 3-5 years old were on an aquatic field trip. Yet the school did not have and aquatic policy signed by parents. .1403(i) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 29, 2023. Please include your facility name, ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 29, 2023, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. RESOURCES -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: KIDS ONLY Facility ID: 29000702 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 8/15/2023 Number Present: 11 Completed Date: 8/15/2023 Age: From 0 To 2 Total Minutes: 260 Time In: 10:10 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete annual compliance monitoring. The last annual compliance visit was conducted on August 24, 2022. The facility currently operates with a five (5) star license that was issued on February 4, 2020. Upon arrival to the facility, I was greeted by a staff member who informed me that the administrator was running an errand. The administrator was notified of my arrival and soon returned to the school and assisted me during the visit. Attendance was taken and observations made. Children were observed participating in the following activities: outdoor play, preparing for lunch, routines and resting. A group of children who are three, four and Five years old are on a field trip today. The center's last fire inspection was conducted on March 14, 2023 and was approved for day time care only. The center's last sanitation inspection was conducted on January 23, 2023, and a 'Superior' classification was received. During today's visit, a full assessment of applicable Child Care Requirements was conducted. These included, supervision, staff/child ratios, permit posted, restrictions maintained. I monitored all program records, a sample of children’s records, and all staff files. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plans were not posted in a classroom with children who are three and four years old. Plans were present through May 2023. GS 110-91(12); .0508(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was no thermometer present to access refrigerator temperature. 15A NCAC 18A .2806(j)(2) 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In a classroom with children who are 2-3 years old, cots were not properly spaced. Sheets and blankets were observed touching several cots. 15A NCAC 18A .2821(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In a classroom with children who are 2-3 years old, an electrical socket was observed uncovered while not in use. 10A NCAC 09 .0604(c) 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 a classroom with children who are 2-3 years old, an aerosol spray can, disinfectant wipes and disinfectant were observed in unlocked storage. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In a classroom with children who are 2-3 years old children, Albuterol was not in its original container. 10A NCAC 09 .0803(4) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In a classroom with children who are 2-3 years old, permission to administer medications, expired medications and sunscreen was observed in medicine storage. .0803(12) 1314 Emergency information did not name Child's health care professional. Information for emergency health professional was not provided for two students. .0802(c)(2) 1916 Written permission was not given by parent for child to participate in aquatic activity. a group of children ages 3-5 years old were on an aquatic field trip. Yet the school did not have and aquatic policy signed by parents. .1403(i) The above violations must be corrected immediately. A letter listing each violation item number, stating how it has been corrected, must be e-mailed to anita.c.graham@dhhs.nc.gov by August 29, 2023. Please include your facility name, ID number, and an electronic signature in your e-mail. If I do not receive your letter by August 29, 2023, a return visit to your program may be necessary to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been corrected or addressed. You were provided an opportunity to ask question regarding child care requirements. We discussed each of the violations cited this date. RESOURCES -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ -The Health and Safety Trainings are now being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. Thank you for your assistance during today’s visit. If you have any questions or concerns, please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my Supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times