10A NCAC 09 .0606 · Violation

Name of Operation: M & E PRESCHOOL Facility ID: 21000050 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 1025-074L Visit Date: 10/17/2025 Number Present: 4 Completed Date: 10/17/2025 Age: From 0 To 3 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns regarding a child relating to toileting practices. Upon arrival, you were not present. N. Privott, substitute, answered the door and assisted. You were contacted by phone and notified of my presence. You arrived shortly after and assisted. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions and diapering/toileting practices were monitored. The license and emergency care plan were posted. Additionally, I observed the indoor space used by the children. Children were napping, interacting with caregivers, engaged in free-choice play, completing hand washing, diapering and toileting routines, eating lunch and one diaper change was observed. Lunch consisted of ravioli, crackers, applesauce and milk. The following violations of the child care requirements were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival one preschool child was left unattended in Space 2, when the caregiver answered the door. Also, during the visit, the child was left unattended in the hall near the classroom door while the caregiver entered the kitchen. .1801(a)(1-5) 871 Center staff did not comply with the safe sleep policy. The centers safe sleep practices were not followed when an eight (8) month old infant was asleep in a rocker placed on the floor from 8:45am to 8:56am. 10A NCAC 09 .0606(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 31, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 92% as of October 16, 2025. CORPORATION STATUS: M & E Preschool Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, M & E Preschool, Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. OBSERVATION/INTERVIEWS: I interviewed you, the administrator and one caregiver regarding the allegation shared. You reported that a parent contacted you on September 30, 2025, expressing concern that her child appeared fearful during diaper changing at home. You added the parent inquired whether anything had occurred at the facility that could have contributed to this behavior or caused the fear. You explained that you immediately contacted the child’s teacher after your conversation with the parent to discuss the concern. According to you the teacher reported she was not aware of any incidents occurring at the facility and indicated that the only new experience for the child was being allowed to use the toilet for the first time independently, which may have contributed to the child’s fears or discomfort and this information was then shared with the parent. You reported that two additional conversations were conducted with the child’s parent(s) regarding the child’s condition; but limited information was provided. You added contact was then made with the child’s grandmother (father’s mother) to obtain further details. According to your report, the grandmother indicated based on her observation, it appeared the child could have hand, foot and mouth disease. You stated the last contact was on October 10, 2025. You reported it could not be determined that any incident occurred at the facility which may have caused the concern reported by the parent of the child. You and the caregiver stated that the center’s policy regarding toileting is that children are permitted to use the bathroom independently to promote privacy, while staff stand at the door to provide supervision. Both you and the caregiver added children are assisted with wiping themselves clean; however, they do not complete the full wiping process. It was reported that children are expected to wipe themselves with guidance and assistance from the caregiver when necessary. You shared the center’s toileting procedures are communicated to parents verbally during enrollment; however, there is no written documentation provided to parents or maintained on file that outlines specific toileting procedures followed at the center. It was reported children are never forced to use the toilet while in care. The caregiver stated children are checked every hour to determine if their diapers are soiled. Once it is identified that a child’s diaper is soiled, the diaper is changed at the diaper changing table. The caregiver, added children that are already diaper trained, will tell you when they must use the bathroom and are allowed to use it. It was reported that you and the staff determine when children are ready for potty training based on observations of them consistently entering and exiting the bathroom. In addition, when parents indicate that their child is ready to begin potty training, you stated that staff will collaborate with parents to support the process while the children is in care. Conflicting information was provided regarding training received relating to toileting practices. You shared staff also use the diaper changing procedures charts posted as a guide. According to you observations are conducted in classroom to ensure compliance is followed in all areas including toileting. It was recommended you provide additional training and coaching for staff relating to appropriate diapering and toileting practices. During the my observation of the diaper changing procedure, the following was observed. -Staff gathered the items for diaper changing -Gloves were put on the hands -The child was retrieved from the c rib and taken over to the diaper changing table -The child’s clothes and diaper were removed. -The child was cleaned and hand wiped with a diaper wipe -The new diaper was put on the child and hand wipe again -The caregiver returned the child to crib and then washed her hands. Based on the above observations and information gathered, the allegations concerning toileting practice were unsubstantiated. I suggest that you include written information in your policies outlining the toileting practices followed at the facility. Providing this information in writing will give parents clear guidance on the steps staff take to assist children with toileting. You should also encourage parents to work with children at home with wiping themselves during the potty training and transition stages to support what is practiced at the facility. If you choose to add the information, a copy of the addendum including new information should be given to parents of children enrolled and new families at the time of enrollment. During the visit, I also discussed with you and a caregiver the appropriate use of time-out. Time out should be used in a manner that is developmentally appropriate and only as a last resort when directing children’s behaviors. Ongoing professional development in the areas of discipline, sanitation, health and nutrition would be beneficial to your staff. Training in these areas could be available through your local child care resource and referral partnership. SUPERVISION: Upon arrival, it was observed that the caregiver in Space #2 left a three-year-old child in Space #2 unattended when she came to open the door. The child walked out of the classroom and stood at the corner of the door until the caregiver returned. This same caregiver placed the child at the door while she quickly entered the kitchen and returned to the classroom. We talked about the importance of supervision and never leaving a child unattended. I explained in the instant a child could have been injured, or an incident could have occur at that time. I explained the child could have escorted the caregiver to the door to ensure she was in sight and ensure she was safe. You stated staff have been notified to allow children to walk them to the door when being answered. I suggest you reiterate the expectations regarding supervising children with all staff. I informed you an unannounced follow up visit will be conducted to monitor applicable child care requirements and supervision. SAFE SLEEP PRACTICES: I shared with you and the caregiver; children cannot be left in rockers while sleeping. Children should be removed immediately when they fall asleep and placed in their cribs. The caregiver shared the child would cry if removed and placed in the crib. I explained, although this is the case, the child must be removed and placed down for rest in the appropriate sleeping equipment. At the completion of the visit, a hand-written visit summary report was printed, reviewed, and a copy was left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Jennifer Linhardt at 252-373-4199 or email jennifer.linhardt@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: M & E PRESCHOOL Facility ID: 21000050 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 4 Completed Date: 10/2/2025 Age: From 0 To 2 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 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 monitor this program for compliance with applicable child care requirements during an annual compliance visit. Upon arrival A. Riddick, teacher assisted with the visit. You arrived shortly after and assisted. This center currently operates with a four-star license, earning seven points in education standards, two points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 7, 2024. The last sanitation inspection was completed on July 1, 2025, earning a “Superior” classification. The last fire inspection was completed on November 13, 2024, and the center was approved for day and nighttime care. Four (4) children ranging from ages zero (0) to two (2) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing and toileting routines, and interacting with teachers. Infants were engaged in tummy time play and bottle feeding. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for seven children between the dates of September 3, 2025 and September 30, 3035. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles stored in the refrigerator in the kitchen was not labeled with the date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed was observed on the playground in space accessible to children. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical assessment on file for an employee hired on February 27, 2025, was dated for 12/1/2023; therefore, it was more than 12 month old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB skin test on file for one employee hired on February 27, 2025, was dated for 1/8/2024. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one employee hired on February 27, 2025. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on May 29, 2025. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. recognizing and Responding to Suspicions of Child Maltreatment was not completed within 90 days for one employee hired on February 27, 2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. Documentation verifying the shaken baby syndrome policy and abusive head trauma was reviewed and given to parents of two preschool children enrolled was not on file. .0608(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of October 1, 2025. CORPORATION STATUS: M & E Preschool Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, M & E Preschool Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. SAFE ENVIRONMENT: An active ant pile was observed on the playground in space accessible to children. You shared that maintenance treated the playground on Friday past to address the ant piles. During the visit, you contacted maintenance again and requested that additional treatment be completed. You reported that children will not be allowed to use the playground until the ant pile has been removed. I recommend allowing children to play in the large field outside located behind the playground, outside the fenced area, to ensure they continue to receive the required one hour of outdoor play. RECORDKEEPING: Several records were missing from both children and staff files during today’s review. We discussed the importance of purging files to remove outdated documentation that is no longer needed, while ensuring that all required forms remain in place. I encourage you to periodically review records to confirm that all necessary documentation is current and maintained. I also recommend reviewing the child care requirements related to recordkeeping to ensure you are aware of what items need to be reviewed and documentation received. You stated you were not aware the shaken baby syndrome requirements applied to children up to age five years old. You stated parents are given a copy of the operational policies during enrollment along with the facility handbook. I also advised you to check dates on medical and health forms submitted by staff to ensure they are not older than twelve months. If medical assessments and TB skin tests are more than 12 months old, the staff member will be required to obtain and submit update records. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. SANITATION REQUIREMENTS: The caregiver in the infant classroom reported that she prepares bottles in the classroom. The classroom does not have a food preparation sink. I informed you that a designated food preparation area is required for preparing bottles in the classroom. Until that requirement is met, bottles should be prepared in the kitchen and then brought to staff for feeding. We discussed that although parents currently provide the formula and water, which staff finds easier to prepare in the classroom, it does not meet sanitation requirements for food preparation. I advised you to contact Environmental Health to discuss this process and obtain further guidance. I will also reach out to Environmental Health to follow-up on the outcome. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the star transition process for your program. You selected the pathway (Pathway 2) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the four-star level and we discussed staff education options available to meet four-star education requirements. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https://www.ncrlap.org/ to review the webinars and information provided about the Environment Rating Scale assessment since you stated you may change your mind about the pathway before the process is completed. I will follow-up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. 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: M & E PRESCHOOL Facility ID: 21000050 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 4 Completed Date: 10/2/2025 Age: From 0 To 2 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 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 monitor this program for compliance with applicable child care requirements during an annual compliance visit. Upon arrival A. Riddick, teacher assisted with the visit. You arrived shortly after and assisted. This center currently operates with a four-star license, earning seven points in education standards, two points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 7, 2024. The last sanitation inspection was completed on July 1, 2025, earning a “Superior” classification. The last fire inspection was completed on November 13, 2024, and the center was approved for day and nighttime care. Four (4) children ranging from ages zero (0) to two (2) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing and toileting routines, and interacting with teachers. Infants were engaged in tummy time play and bottle feeding. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for seven children between the dates of September 3, 2025 and September 30, 3035. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles stored in the refrigerator in the kitchen was not labeled with the date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed was observed on the playground in space accessible to children. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical assessment on file for an employee hired on February 27, 2025, was dated for 12/1/2023; therefore, it was more than 12 month old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB skin test on file for one employee hired on February 27, 2025, was dated for 1/8/2024. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one employee hired on February 27, 2025. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on May 29, 2025. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. recognizing and Responding to Suspicions of Child Maltreatment was not completed within 90 days for one employee hired on February 27, 2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. Documentation verifying the shaken baby syndrome policy and abusive head trauma was reviewed and given to parents of two preschool children enrolled was not on file. .0608(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of October 1, 2025. CORPORATION STATUS: M & E Preschool Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, M & E Preschool Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. SAFE ENVIRONMENT: An active ant pile was observed on the playground in space accessible to children. You shared that maintenance treated the playground on Friday past to address the ant piles. During the visit, you contacted maintenance again and requested that additional treatment be completed. You reported that children will not be allowed to use the playground until the ant pile has been removed. I recommend allowing children to play in the large field outside located behind the playground, outside the fenced area, to ensure they continue to receive the required one hour of outdoor play. RECORDKEEPING: Several records were missing from both children and staff files during today’s review. We discussed the importance of purging files to remove outdated documentation that is no longer needed, while ensuring that all required forms remain in place. I encourage you to periodically review records to confirm that all necessary documentation is current and maintained. I also recommend reviewing the child care requirements related to recordkeeping to ensure you are aware of what items need to be reviewed and documentation received. You stated you were not aware the shaken baby syndrome requirements applied to children up to age five years old. You stated parents are given a copy of the operational policies during enrollment along with the facility handbook. I also advised you to check dates on medical and health forms submitted by staff to ensure they are not older than twelve months. If medical assessments and TB skin tests are more than 12 months old, the staff member will be required to obtain and submit update records. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. SANITATION REQUIREMENTS: The caregiver in the infant classroom reported that she prepares bottles in the classroom. The classroom does not have a food preparation sink. I informed you that a designated food preparation area is required for preparing bottles in the classroom. Until that requirement is met, bottles should be prepared in the kitchen and then brought to staff for feeding. We discussed that although parents currently provide the formula and water, which staff finds easier to prepare in the classroom, it does not meet sanitation requirements for food preparation. I advised you to contact Environmental Health to discuss this process and obtain further guidance. I will also reach out to Environmental Health to follow-up on the outcome. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the star transition process for your program. You selected the pathway (Pathway 2) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the four-star level and we discussed staff education options available to meet four-star education requirements. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https://www.ncrlap.org/ to review the webinars and information provided about the Environment Rating Scale assessment since you stated you may change your mind about the pathway before the process is completed. I will follow-up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: M & E PRESCHOOL Facility ID: 21000050 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 4 Completed Date: 10/2/2025 Age: From 0 To 2 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 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 monitor this program for compliance with applicable child care requirements during an annual compliance visit. Upon arrival A. Riddick, teacher assisted with the visit. You arrived shortly after and assisted. This center currently operates with a four-star license, earning seven points in education standards, two points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 7, 2024. The last sanitation inspection was completed on July 1, 2025, earning a “Superior” classification. The last fire inspection was completed on November 13, 2024, and the center was approved for day and nighttime care. Four (4) children ranging from ages zero (0) to two (2) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing and toileting routines, and interacting with teachers. Infants were engaged in tummy time play and bottle feeding. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for seven children between the dates of September 3, 2025 and September 30, 3035. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles stored in the refrigerator in the kitchen was not labeled with the date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed was observed on the playground in space accessible to children. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical assessment on file for an employee hired on February 27, 2025, was dated for 12/1/2023; therefore, it was more than 12 month old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB skin test on file for one employee hired on February 27, 2025, was dated for 1/8/2024. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one employee hired on February 27, 2025. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on May 29, 2025. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. recognizing and Responding to Suspicions of Child Maltreatment was not completed within 90 days for one employee hired on February 27, 2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. Documentation verifying the shaken baby syndrome policy and abusive head trauma was reviewed and given to parents of two preschool children enrolled was not on file. .0608(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of October 1, 2025. CORPORATION STATUS: M & E Preschool Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, M & E Preschool Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. SAFE ENVIRONMENT: An active ant pile was observed on the playground in space accessible to children. You shared that maintenance treated the playground on Friday past to address the ant piles. During the visit, you contacted maintenance again and requested that additional treatment be completed. You reported that children will not be allowed to use the playground until the ant pile has been removed. I recommend allowing children to play in the large field outside located behind the playground, outside the fenced area, to ensure they continue to receive the required one hour of outdoor play. RECORDKEEPING: Several records were missing from both children and staff files during today’s review. We discussed the importance of purging files to remove outdated documentation that is no longer needed, while ensuring that all required forms remain in place. I encourage you to periodically review records to confirm that all necessary documentation is current and maintained. I also recommend reviewing the child care requirements related to recordkeeping to ensure you are aware of what items need to be reviewed and documentation received. You stated you were not aware the shaken baby syndrome requirements applied to children up to age five years old. You stated parents are given a copy of the operational policies during enrollment along with the facility handbook. I also advised you to check dates on medical and health forms submitted by staff to ensure they are not older than twelve months. If medical assessments and TB skin tests are more than 12 months old, the staff member will be required to obtain and submit update records. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. SANITATION REQUIREMENTS: The caregiver in the infant classroom reported that she prepares bottles in the classroom. The classroom does not have a food preparation sink. I informed you that a designated food preparation area is required for preparing bottles in the classroom. Until that requirement is met, bottles should be prepared in the kitchen and then brought to staff for feeding. We discussed that although parents currently provide the formula and water, which staff finds easier to prepare in the classroom, it does not meet sanitation requirements for food preparation. I advised you to contact Environmental Health to discuss this process and obtain further guidance. I will also reach out to Environmental Health to follow-up on the outcome. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the star transition process for your program. You selected the pathway (Pathway 2) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the four-star level and we discussed staff education options available to meet four-star education requirements. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https://www.ncrlap.org/ to review the webinars and information provided about the Environment Rating Scale assessment since you stated you may change your mind about the pathway before the process is completed. I will follow-up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. 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: M & E PRESCHOOL Facility ID: 21000050 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 4 Completed Date: 10/2/2025 Age: From 0 To 2 Total Minutes: 220 Time In: 08:50 AM Time Out: 12:30 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 monitor this program for compliance with applicable child care requirements during an annual compliance visit. Upon arrival A. Riddick, teacher assisted with the visit. You arrived shortly after and assisted. This center currently operates with a four-star license, earning seven points in education standards, two points in program standards and one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was completed on November 7, 2024. The last sanitation inspection was completed on July 1, 2025, earning a “Superior” classification. The last fire inspection was completed on November 13, 2024, and the center was approved for day and nighttime care. Four (4) children ranging from ages zero (0) to two (2) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing and toileting routines, and interacting with teachers. Infants were engaged in tummy time play and bottle feeding. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for seven children between the dates of September 3, 2025 and September 30, 3035. 10A NCAC 09 .0302(d)(4) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five bottles stored in the refrigerator in the kitchen was not labeled with the date. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed was observed on the playground in space accessible to children. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical assessment on file for an employee hired on February 27, 2025, was dated for 12/1/2023; therefore, it was more than 12 month old. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB skin test on file for one employee hired on February 27, 2025, was dated for 1/8/2024. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation was not on file for one employee hired on February 27, 2025. .1101(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for one preschool child enrolled on May 29, 2025. GS110-91(1) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. recognizing and Responding to Suspicions of Child Maltreatment was not completed within 90 days for one employee hired on February 27, 2025. .1102(g) 1907 A copy of the Prevention of Shaken Baby and Abusive Head Trauma policy was not given to or explained to parents of newly enrolled children up to five years of age on or before the first day the child receives care at the center. Documentation verifying the shaken baby syndrome policy and abusive head trauma was reviewed and given to parents of two preschool children enrolled was not on file. .0608(b) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. COMPLIANCE HISTORY SCORE: The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of October 1, 2025. CORPORATION STATUS: M & E Preschool Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, M & E Preschool Inc. remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. SAFE ENVIRONMENT: An active ant pile was observed on the playground in space accessible to children. You shared that maintenance treated the playground on Friday past to address the ant piles. During the visit, you contacted maintenance again and requested that additional treatment be completed. You reported that children will not be allowed to use the playground until the ant pile has been removed. I recommend allowing children to play in the large field outside located behind the playground, outside the fenced area, to ensure they continue to receive the required one hour of outdoor play. RECORDKEEPING: Several records were missing from both children and staff files during today’s review. We discussed the importance of purging files to remove outdated documentation that is no longer needed, while ensuring that all required forms remain in place. I encourage you to periodically review records to confirm that all necessary documentation is current and maintained. I also recommend reviewing the child care requirements related to recordkeeping to ensure you are aware of what items need to be reviewed and documentation received. You stated you were not aware the shaken baby syndrome requirements applied to children up to age five years old. You stated parents are given a copy of the operational policies during enrollment along with the facility handbook. I also advised you to check dates on medical and health forms submitted by staff to ensure they are not older than twelve months. If medical assessments and TB skin tests are more than 12 months old, the staff member will be required to obtain and submit update records. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. SANITATION REQUIREMENTS: The caregiver in the infant classroom reported that she prepares bottles in the classroom. The classroom does not have a food preparation sink. I informed you that a designated food preparation area is required for preparing bottles in the classroom. Until that requirement is met, bottles should be prepared in the kitchen and then brought to staff for feeding. We discussed that although parents currently provide the formula and water, which staff finds easier to prepare in the classroom, it does not meet sanitation requirements for food preparation. I advised you to contact Environmental Health to discuss this process and obtain further guidance. I will also reach out to Environmental Health to follow-up on the outcome. PATHWAYS TO THE STARS: During the visit, we discussed the pathway to the star transition process for your program. You selected the pathway (Pathway 2) you would like to follow to obtain your star level at the end of the process. I reviewed the requirements for both pathways 1 and 2 at the four-star level and we discussed staff education options available to meet four-star education requirements. I provided guidance and resources on steps needed to satisfy the requirements for the pathway and star level you selected. We confirmed that by April 2, 2025, the application will be completed and the transition to the selected Stars pathway will begin. I advised you to visit the Division’s website at https://ncchildcare.ncdhhs.gov/ to review the QRIS modernization page for additional information on the pathway to the stars. You should also review NCRLAP’s website at https://www.ncrlap.org/ to review the webinars and information provided about the Environment Rating Scale assessment since you stated you may change your mind about the pathway before the process is completed. I will follow-up with you throughout the process to ensure progress is made and there can be a smooth transition from the star rated license to your pathway. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhardt@dhhs.nc.gov. At the conclusion of this visit, a one-page visit summary report was completed, reviewed, and left with you. 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: M & E PRESCHOOL Facility ID: 21000050 Consultant: MICHELLE O'KELLEY Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 15 Completed Date: 6/11/2025 Age: From 0 To 10 Total Minutes: 145 Time In: 12:20 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. B. White, Administrator, assisted me with the visit. Your program currently operates with a four-star license, issued 2/21/22, earning 7 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for the child care administrator has at least 10 years of documented child care administration work experience in a licensed program. The last annual compliance visit was conducted 11/7/24. The sanitation inspection was completed on 2/26/25 with a “Superior” classification. The last fire inspection was conducted on 11/13/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety eight percent as of 6/10/25. The NC Secretary of State website was reviewed on 6/10/25 and M & E Preschool Inc. was listed as current- active. I visited each indoor and outdoor space. Children were resting on linen covered cots and mats. In space #1, an infant and a young toddler were resting in individual cribs. The infant awoke during the visit and their individual needs including feeding and diaper changed were met. The outdoor space included stationary equipment, ride on toys, balls, and storage for extra materials. The following violation was documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #3, there were six (6) out of six (6) cups/ water bottles in the children’s cubbies were not labeled with child’s name and date. 15A NCAC 18A .2804(d) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Located at the entrance way of the facility below five (5) feet from the finished floor, there was a gallon jug of hand sanitizer. .0604(a) 1301 Center did not maintain a record of daily attendance. In space #3, the attendance had not been completed for today. GS 110-91(9) Compliance Verification: Violations cited during today’s visit have been corrected. No further action is required at this time. Technical Assistance: Attendance: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Attendance records should accurately reflect the number of children in care at all times. In space #3, the attendance had not been completed for today. You completed the attendance during the visit. There should be an attendance record for each group of children. Attendance records in each classroom should include each child that is enrolled in the space and documented as present or absent. Storage of Hazardous Items: Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Located at the entrance way of the facility below five (5) feet from the finished floor, there was a gallon jug of hand sanitizer. You removed the sanitizer from the building. We discussed items that are required to be placed in locked storage. Sanitation: Infectious diseases spread easily in early care and education programs, since children, staff, and families are all in close contact. Surfaces and objects can carry germs and have spread diseases. In space #3, there were six (6) out of six (6) cups/ water bottles in the children’s cubbies were not labeled with child’s name and date. Staff corrected by labeling each water bottle/ cup with child’s name and date. Children’s cups/ water bottles are to be labeled each day with the child’s name and date. Developing effective cleaning strategies and policies are important steps to reduce the risk of illness in early care and education programs. Additional Comments: NCID - Did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Raise NC Newsletter – If you are not receiving and reading the Raise NC Newsletter, you are missing out on current relevant information about early childhood issues in North Carolina, information about proposed rules, available trainings and other information that may be of interest to you and your staff. The Raise NC Newsletter is typically sent out weekly to all facility contact email addresses, but if your email is not the facility contact email address, you can go to the DCDEE Website, https://ncchildcare.ncdhhs.gov/ and click on the “What’s New” tab. Click on “What’s New” and enter your email address and name under “Sign Up for Updates”. As an early learning professional, you need to stay in the know about issues in North Carolina that affect you and your business. Share with your staff so they can be in the know too. The new QRIS has been approved by the Child Care Commission. The Division is working on implementation and trainings for the new system. We discussed the QRIS Modernization. You can find out more information at DCDEE website under What’s new, QRIS Modernization. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Michelle O’Kelley, Child Care Consultant, (252) 508-3955, Michelle.OKelley@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: M & E PRESCHOOL Facility ID: 21000050 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/7/2024 Number Present: 4 Completed Date: 11/7/2024 Age: From 2 To 3 Total Minutes: 193 Time In: 09:17 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an Annual Compliance Visit. B. White, administrator, arrived later and assisted me as needed with today’s visit. Your program currently operates with a four(4)-star license, issued 2/21/2022. The last Annual Compliance visit was conducted 12/4/2023. The sanitation inspection was completed 7/29/24 with a “Superior” classification. The last fire inspection was conducted 11/17/23 and your facility was approved for daytime and night care. The program’s compliance history was ninety-nine as of 11/5/2024. According to the NC Secretary of State website this facility is currently owned by M & E Preschool, Inc. Please contact me prior to any information changing regarding the owner of this facility. The contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed. It is important to frequently check your email to remain informed about any new changes that have or may occur. Four children were present and watching “Planet Emergency” on the television in their classroom. After group time, children participated in personal care routines and transitioned to outdoor play. The fenced outdoor space included a large stationary climber, portable slide, basketball goal, push/pull cars, wagon, chairs, and a large canopy for shade. After lunch the children rested on linen-covered cots. Lunch consisted of hamburger patty with gravy, green beans, peaches, rolls, and milk. The following violations were documented. Violation Number Comment Rule 544 Screen time was offered to children under three years of age. Today upon arrival four(4) children ranging in ages of two(2) to three(3) years old were watching “Planet Emergency” on the television. .0510(f) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Technical Assistance: Screen Time - The first two years of life are critical periods of growth and development for children’s brains and bodies, and rapid brain development continues through the early childhood years. Today upon arrival four(4) children ranging in ages of two(2) to three(3) years old were watching “Planet Emergency” on the television. Screen time, including television, videos, video games, and computer usage, is prohibited for children under three years of age. You stated that the only way to get one of the children to stop crying is to turn on the television. To best develop a child’s cognitive, language, motor, and social-emotional skills, infants and toddlers need hands-on exploration and social interaction with their caregivers. This was corrected during the visit. Additional Information: The Chowan/Perquimans Smart Start Child Care Resource & Referral is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 482-3035 or check out their website at www.cp-smartstart.org. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. The Healthy Social Behaviors (HSB) Project supports teachers to promote healthy social-emotional development and reduce the expulsion rate among young children in licensed child care centers across North Carolina. The team is made up of specialists with early childhood education backgrounds who are passionate about empowering teachers to develop learning environments and teaching practices that promote prosocial skills in young children. To speak to a Behavior Support Advisor contact 1-888-600-1685 option 1. QRIS Modernization: Pathways to the Stars-North Carolina led the nation in 1999 when it launched its Quality Rating and Improvement System (QRIS), a star rating system for early childhood education facilities. QRIS is a systemic approach to assess, improve, and communicate the level of quality. It encourages early care and learning programs to engage in continuous quality improvement, and families may use the star rating to make informed decisions when choosing a child care facility. Listening to and communicating with early childhood professionals, families, communities and businesses is a critical component to ensure a successful QRIS modernization. The Commission began the modernization process by seeking public comment, and the Commission invites and welcomes public comment as we move towards finalizing rules. Some QRIS Modernization changes are still in draft form. To learn more about the Commission’s QRIS work, please note these upcoming opportunities for participation: •December 9, 2024 – Quarterly Commission meeting, with a public comment period for any topic. The Commission may decide to publish proposed QRIS rules, with publication occurring in January 2025. •Public Comment Period for QRIS Rules – After publication in the new year, DCDEE will announce a 60-day public comment period regarding QRIS Modernization, including a public hearing and the opportunity to submit written comments. •Email your feedback to DCDEE_QRIS@dhhs.nc.gov at any time. ABCMS Child Care Provider Portal- North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members. •Run a printable report of the staff roster to assist with compliance visits. •See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.