GS 110-91 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 39 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by M. Ingram, office manager. I stated the purpose of my visit, and I conducted the beginning of the visit with Ms. Ingram. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license. This facility has one NC PreK classroom. Teachers were observed actively engaged with children during center play as well as gross motor play. Infants were engaged in napping and active tummy time and play, diapering and toileting and feeding. One year old’s were observed in active gross motor play and transitions from outdoor to indoors. and two were engaged in an art activity and outdoor gross motor activities. Threes were observed in outdoor gross motor, and playing in centers. Children were served milk, bread, turkey meat, green beans, lettuce and tomatoes for lunch. INSPECTIONS: The last sanitation inspection was conducted 03-11-2026 . The last fire inspection was conducted 02-10-2026. The last documented fire drill was conducted 2-10-2026. The last documented shelter-in-place or lockdown drill was conducted -06-2025. The last documented playground inspection was conducted 03/11/2026. The last Annual Compliance was conducted 3/28/2025. Compliance History prior to today’s visit is 80%. The attached checklist was used to note the requirements we monitored today. Staf and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed in compliance, (Two Ford Transit 350, one is silver the other is black vans. NCPK: This facility has ten Nc Pre k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, and other celebrations. Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. This posting was placed outside of the door for most of the classrooms. .0713(a)(10), (c) & (f)(3); .2818(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor gross motor structure (vehicle) has chipping paint. .0601(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. The laundry room was unlocked and stored bleach and laundry pods. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground has not been inspected/documented since December 2025. .0605(q) 1301 Center did not maintain a record of daily attendance. Two children that were new to the facility were not listed or checked present. GS 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lock down was conducted in October, 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured three inches in some areas and less around the slides and steps. .0605(k)(1-4) 9995 A violation was found for which there is no item number. There are several corners of the playground near the fence that have piles of pine straw, The green tree on the toddler playground has spiderwebs and a spider under the top. This is an environmental health violation : 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL: (h) Any composting areas shall be covered and maintained to prevent attracting pests. Worm bins shall be kept covered. (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by March 25, 2026. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read “at a glance”. If there are no allergies, post the allergy sign and add no allergies under the sign. I assisted one staff member with navigating Moodle, for her Health and Safety Trainings. To remember to complete the Playground checklist add it on your calendar or try to complete it on the same day i.e. the first Friday of the month. Post all staff and child ratio sheets inside of the classroom, this will assist teachers in remembering the classroom ratio and max capacity. Rated License: Today we went through each pathway in detail: Pathways: You will not be required to re-apply until three years from your current license date. The options are Three Pathways to earn a 2-5 Star Rated License; I have sent you an email with links to learn more. Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERSU). This pathway is similar to what you have done in the past. Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities (see resources) Education: Pathway to stars: 50% of lead teachers and other staff will be monitored. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/E/Education_Standards-Center_OnSite_Administrator.pdf?ver=oEDIqRsO-CqRywMsDSJi6A%3d%3d Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process childcare provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS After reviewing the pathways, you have decided on Pathway one but also interested in Pathway two. This choice is not permanent, and you can change your pathway choice by June 31 (the month when you will apply). If you are going to have an environmental assessment, your three month self assessment must be completed before I order the scales. Be mindful that the entire state will be transitioning to the new QIRS/Pathway ratings. We will need to order the scales early to receive your license before December 31, 2026 You will receive an email with additional information. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Pathways to the Stars: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization www.ncrlap.org to learn about the new environment rating scales 3rd edition, there are also free workshops on the site. Contact your local partnership for children to help you prepare for Rated License re-application if you will be choosing to have your environment accessed. Applications can be found on the DCDEE website. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. If you have any questions or need further assistance, please contact me or Ms. Ebony Duncan, supervisor at 704-594-0043 or via email at ebony.duncan@dhhs.nc.gov. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 39 Completed Date: 3/11/2026 Age: From 0 To 5 Total Minutes: 305 Time In: 09:10 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by M. Ingram, office manager. I stated the purpose of my visit, and I conducted the beginning of the visit with Ms. Ingram. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license. This facility has one NC PreK classroom. Teachers were observed actively engaged with children during center play as well as gross motor play. Infants were engaged in napping and active tummy time and play, diapering and toileting and feeding. One year old’s were observed in active gross motor play and transitions from outdoor to indoors. and two were engaged in an art activity and outdoor gross motor activities. Threes were observed in outdoor gross motor, and playing in centers. Children were served milk, bread, turkey meat, green beans, lettuce and tomatoes for lunch. INSPECTIONS: The last sanitation inspection was conducted 03-11-2026 . The last fire inspection was conducted 02-10-2026. The last documented fire drill was conducted 2-10-2026. The last documented shelter-in-place or lockdown drill was conducted -06-2025. The last documented playground inspection was conducted 03/11/2026. The last Annual Compliance was conducted 3/28/2025. Compliance History prior to today’s visit is 80%. The attached checklist was used to note the requirements we monitored today. Staf and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed in compliance, (Two Ford Transit 350, one is silver the other is black vans. NCPK: This facility has ten Nc Pre k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, and other celebrations. Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. This posting was placed outside of the door for most of the classrooms. .0713(a)(10), (c) & (f)(3); .2818(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Outdoor gross motor structure (vehicle) has chipping paint. .0601(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. The laundry room was unlocked and stored bleach and laundry pods. .2820(b) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground has not been inspected/documented since December 2025. .0605(q) 1301 Center did not maintain a record of daily attendance. Two children that were new to the facility were not listed or checked present. GS 110-91(9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lock down was conducted in October, 2025. .0604(u);.0302(d)(8) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured three inches in some areas and less around the slides and steps. .0605(k)(1-4) 9995 A violation was found for which there is no item number. There are several corners of the playground near the fence that have piles of pine straw, The green tree on the toddler playground has spiderwebs and a spider under the top. This is an environmental health violation : 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL: (h) Any composting areas shall be covered and maintained to prevent attracting pests. Worm bins shall be kept covered. (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by March 25, 2026. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read “at a glance”. If there are no allergies, post the allergy sign and add no allergies under the sign. I assisted one staff member with navigating Moodle, for her Health and Safety Trainings. To remember to complete the Playground checklist add it on your calendar or try to complete it on the same day i.e. the first Friday of the month. Post all staff and child ratio sheets inside of the classroom, this will assist teachers in remembering the classroom ratio and max capacity. Rated License: Today we went through each pathway in detail: Pathways: You will not be required to re-apply until three years from your current license date. The options are Three Pathways to earn a 2-5 Star Rated License; I have sent you an email with links to learn more. Pathway #1 – Program Assessment using the Environment Rating Scales (ITERS-3, ECERS-3, FCCERS-3 and SACERSU). This pathway is similar to what you have done in the past. Pathway #2 – Classroom & Instructional Quality focusing on curriculum and child assessment for demonstration of quality practices Pathway #3 – Accreditation & Head Start which allows a direct licensure pathway for accredited and Head Start facilities (see resources) Education: Pathway to stars: 50% of lead teachers and other staff will be monitored. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/E/Education_Standards-Center_OnSite_Administrator.pdf?ver=oEDIqRsO-CqRywMsDSJi6A%3d%3d Have all staff update their information in the WORKS database. The WORKS database is designed to streamline education evaluation, using a web-based process designed to increase efficiency with which staff can process childcare provider If the applications. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS After reviewing the pathways, you have decided on Pathway one but also interested in Pathway two. This choice is not permanent, and you can change your pathway choice by June 31 (the month when you will apply). If you are going to have an environmental assessment, your three month self assessment must be completed before I order the scales. Be mindful that the entire state will be transitioning to the new QIRS/Pathway ratings. We will need to order the scales early to receive your license before December 31, 2026 You will receive an email with additional information. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Pathways to the Stars: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization www.ncrlap.org to learn about the new environment rating scales 3rd edition, there are also free workshops on the site. Contact your local partnership for children to help you prepare for Rated License re-application if you will be choosing to have your environment accessed. Applications can be found on the DCDEE website. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ECERS-3, and ITERS-3. If you have any questions or need further assistance, please contact me or Ms. Ebony Duncan, supervisor at 704-594-0043 or via email at ebony.duncan@dhhs.nc.gov. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 44 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor the compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mrs. Parsons, Owner, I sated the purpose of my visit, and I conducted the beginning of the visit with Ms. T. Hilman, “administrator in training”. Throughout the visit I was assisted by both owners and front desk staff. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license. Children were observed napping, transitioning from a field trip into the classroom, and transitioning from nap to center play. Infant classroom was observed diapering, handwashing, and actively engaged in tummy time. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Posted plan was dated to end June 20, 2025. GS 110-91(12); .0508(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Cots measured 10 inches and under 18 inches in the school-aged and the two year old classrooms. 15A NCAC 18A .2821(e) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Water Baby sunscreen was not properly locked, the key was left in the lock. Teacher's purse with an prescription inhaler was not locked up and placed on the children's cubbies. 15A NCAC 18A .2820(d) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission was not updated, last update was February 2024, and April 2022. .1005(b)(4) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by July 9, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Technical Assistance: Off-premises authorization forms should be updated yearly. Update off-premises authorization forms when you update the Emergency medical care information. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. For more information on the new environmental rating scales go to www.NCRLAP.org and visit their resource section. You will also find video and training on this site. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ITERS-3, ECERS-3. *ncrlap.org You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 6/25/2025 Number Present: 44 Completed Date: 6/25/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor the compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mrs. Parsons, Owner, I sated the purpose of my visit, and I conducted the beginning of the visit with Ms. T. Hilman, “administrator in training”. Throughout the visit I was assisted by both owners and front desk staff. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license. Children were observed napping, transitioning from a field trip into the classroom, and transitioning from nap to center play. Infant classroom was observed diapering, handwashing, and actively engaged in tummy time. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival, and departure, and all required posted documents. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Posted plan was dated to end June 20, 2025. GS 110-91(12); .0508(a) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. Cots measured 10 inches and under 18 inches in the school-aged and the two year old classrooms. 15A NCAC 18A .2821(e) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Water Baby sunscreen was not properly locked, the key was left in the lock. Teacher's purse with an prescription inhaler was not locked up and placed on the children's cubbies. 15A NCAC 18A .2820(d) 1322 A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. Permission was not updated, last update was February 2024, and April 2022. .1005(b)(4) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by July 9, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: Technical Assistance: Off-premises authorization forms should be updated yearly. Update off-premises authorization forms when you update the Emergency medical care information. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. For more information on the new environmental rating scales go to www.NCRLAP.org and visit their resource section. You will also find video and training on this site. List of agencies accepted by DCDEE: Accrediting agencies: o NAEYC - https://www.naeyc.org/accreditation/higher-ed/accredited-programs o NAC - https://www.earlylearningleaders.org/accreditation/accredited-programs/ o NAFCC - https://nafcc.org/accreditation/nationally-accredited-fcc-educators-map/ o NECPA - https://necpa.net/programs o COGNIA - https://home.cognia.org/registry 0 AMS - https://amshq.org/Families/AMS-Member-Schools * Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources -NC Additional Notes ITERS-3, ECERS-3. *ncrlap.org You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 52 Completed Date: 3/19/2025 Age: From 0 To 11 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 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 monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mr. Parsons, Owner, Ms. Montgomery, administrator, and M. Ingram, office manager. I stated the purpose of my visit, and conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license and as received the required ECERS-R scores. Teachers were observed actively engaged with children during center play. Infants were engaged in napping. Twos and toddlers were engaged in circle time and the teacher read several books. The twos played with fine motor toys after seating at the table for circle time. The NC Pre K children were observed actively engaged in gross motor play. Children were served milk, cornbread, beef meatloaf, mashed potatoes, and pineapples for lunch. Later in the visit school aged children were observed transitioning and eating snack that consisted of yogurt, peanut butter crackers and milk. INSPECTIONS: The last sanitation inspection was conducted 12-30-2024 The last fire inspection was conducted 01-02-2025. The last documented fire drill was conducted 2-28-2025. The last documented shelter-in-place or lock down drill was conducted 12-06-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed as well. NC PreK: This facility has ten NC PreK k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, a sneaker ball and other celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space three( two year old's classsroom), did not have a schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Activity plans dated for March 10, and March 5th was posted in Space six and space five on the day of the visit. GS 110-91(12); .0508(a) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The gate was opened and unlocked. .0604 (m) 832 There was no written emergency medical care (EMC) plan. The EMC plan contained old information from prior administrators and was only in Space five. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was a bottle of cough medicine on the shelf in the infant room. 15A NCAC 18A .2820(d) 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. There was left over A&D ointment/diaper cream in Space two (toddler), the child is no longer in the center. .0803(12) 853 Incident logs were not completed and maintained as required There was no evidence of this log in the current/most recent files. .0802(g)(1-6) 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. Front staff did not have a recent TB screening/test. The test on file was from 2018. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff that started in September and November did not complete their questonaire until January. .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of the vans used for travel did not have pictures of the children. The black van, which was not used this week did not have any identfying information. 10A NCAC 09 .1003(d) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage in the white van. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on the preschool aged playground measure 4inchs in several places around the structure. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff did not have this policy signed prior to working with children. .0608(d)(1-4) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 2, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. I worked with Ms. Ingram on the staff and training worksheet, I left her an example of what staff need to have prior to and months after employment. Update your Emergency Medical plan, and place several places in the building for a quick reference. I would suggest placing in each classroom for Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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 .1003 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 52 Completed Date: 3/19/2025 Age: From 0 To 11 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 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 monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mr. Parsons, Owner, Ms. Montgomery, administrator, and M. Ingram, office manager. I stated the purpose of my visit, and conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license and as received the required ECERS-R scores. Teachers were observed actively engaged with children during center play. Infants were engaged in napping. Twos and toddlers were engaged in circle time and the teacher read several books. The twos played with fine motor toys after seating at the table for circle time. The NC Pre K children were observed actively engaged in gross motor play. Children were served milk, cornbread, beef meatloaf, mashed potatoes, and pineapples for lunch. Later in the visit school aged children were observed transitioning and eating snack that consisted of yogurt, peanut butter crackers and milk. INSPECTIONS: The last sanitation inspection was conducted 12-30-2024 The last fire inspection was conducted 01-02-2025. The last documented fire drill was conducted 2-28-2025. The last documented shelter-in-place or lock down drill was conducted 12-06-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed as well. NC PreK: This facility has ten NC PreK k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, a sneaker ball and other celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space three( two year old's classsroom), did not have a schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Activity plans dated for March 10, and March 5th was posted in Space six and space five on the day of the visit. GS 110-91(12); .0508(a) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The gate was opened and unlocked. .0604 (m) 832 There was no written emergency medical care (EMC) plan. The EMC plan contained old information from prior administrators and was only in Space five. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was a bottle of cough medicine on the shelf in the infant room. 15A NCAC 18A .2820(d) 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. There was left over A&D ointment/diaper cream in Space two (toddler), the child is no longer in the center. .0803(12) 853 Incident logs were not completed and maintained as required There was no evidence of this log in the current/most recent files. .0802(g)(1-6) 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. Front staff did not have a recent TB screening/test. The test on file was from 2018. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff that started in September and November did not complete their questonaire until January. .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of the vans used for travel did not have pictures of the children. The black van, which was not used this week did not have any identfying information. 10A NCAC 09 .1003(d) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage in the white van. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on the preschool aged playground measure 4inchs in several places around the structure. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff did not have this policy signed prior to working with children. .0608(d)(1-4) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 2, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. I worked with Ms. Ingram on the staff and training worksheet, I left her an example of what staff need to have prior to and months after employment. Update your Emergency Medical plan, and place several places in the building for a quick reference. I would suggest placing in each classroom for Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 52 Completed Date: 3/19/2025 Age: From 0 To 11 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 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 monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mr. Parsons, Owner, Ms. Montgomery, administrator, and M. Ingram, office manager. I stated the purpose of my visit, and conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license and as received the required ECERS-R scores. Teachers were observed actively engaged with children during center play. Infants were engaged in napping. Twos and toddlers were engaged in circle time and the teacher read several books. The twos played with fine motor toys after seating at the table for circle time. The NC Pre K children were observed actively engaged in gross motor play. Children were served milk, cornbread, beef meatloaf, mashed potatoes, and pineapples for lunch. Later in the visit school aged children were observed transitioning and eating snack that consisted of yogurt, peanut butter crackers and milk. INSPECTIONS: The last sanitation inspection was conducted 12-30-2024 The last fire inspection was conducted 01-02-2025. The last documented fire drill was conducted 2-28-2025. The last documented shelter-in-place or lock down drill was conducted 12-06-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed as well. NC PreK: This facility has ten NC PreK k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, a sneaker ball and other celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space three( two year old's classsroom), did not have a schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Activity plans dated for March 10, and March 5th was posted in Space six and space five on the day of the visit. GS 110-91(12); .0508(a) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The gate was opened and unlocked. .0604 (m) 832 There was no written emergency medical care (EMC) plan. The EMC plan contained old information from prior administrators and was only in Space five. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was a bottle of cough medicine on the shelf in the infant room. 15A NCAC 18A .2820(d) 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. There was left over A&D ointment/diaper cream in Space two (toddler), the child is no longer in the center. .0803(12) 853 Incident logs were not completed and maintained as required There was no evidence of this log in the current/most recent files. .0802(g)(1-6) 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. Front staff did not have a recent TB screening/test. The test on file was from 2018. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff that started in September and November did not complete their questonaire until January. .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of the vans used for travel did not have pictures of the children. The black van, which was not used this week did not have any identfying information. 10A NCAC 09 .1003(d) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage in the white van. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on the preschool aged playground measure 4inchs in several places around the structure. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff did not have this policy signed prior to working with children. .0608(d)(1-4) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 2, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. I worked with Ms. Ingram on the staff and training worksheet, I left her an example of what staff need to have prior to and months after employment. Update your Emergency Medical plan, and place several places in the building for a quick reference. I would suggest placing in each classroom for Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 52 Completed Date: 3/19/2025 Age: From 0 To 11 Total Minutes: 480 Time In: 09:00 AM Time Out: 05:00 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 monitor compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mr. Parsons, Owner, Ms. Montgomery, administrator, and M. Ingram, office manager. I stated the purpose of my visit, and conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners and front desk staff. The NC Secretary of State website was viewed before the visit, the business was active and current. The center’s license and NC childcare law were prominently posted. The facility holds a five (5) star license and as received the required ECERS-R scores. Teachers were observed actively engaged with children during center play. Infants were engaged in napping. Twos and toddlers were engaged in circle time and the teacher read several books. The twos played with fine motor toys after seating at the table for circle time. The NC Pre K children were observed actively engaged in gross motor play. Children were served milk, cornbread, beef meatloaf, mashed potatoes, and pineapples for lunch. Later in the visit school aged children were observed transitioning and eating snack that consisted of yogurt, peanut butter crackers and milk. INSPECTIONS: The last sanitation inspection was conducted 12-30-2024 The last fire inspection was conducted 01-02-2025. The last documented fire drill was conducted 2-28-2025. The last documented shelter-in-place or lock down drill was conducted 12-06-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and observed as well. NC PreK: This facility has ten NC PreK k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and NC Foundations for Early & Development. NC PreK The facility has one NC PreK Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, a sneaker ball and other celebrations. Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Space three( two year old's classsroom), did not have a schedule posted. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. Activity plans dated for March 10, and March 5th was posted in Space six and space five on the day of the visit. GS 110-91(12); .0508(a) 828 Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The gate was opened and unlocked. .0604 (m) 832 There was no written emergency medical care (EMC) plan. The EMC plan contained old information from prior administrators and was only in Space five. 10A NCAC 09 .0802(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. There was a bottle of cough medicine on the shelf in the infant room. 15A NCAC 18A .2820(d) 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. There was left over A&D ointment/diaper cream in Space two (toddler), the child is no longer in the center. .0803(12) 853 Incident logs were not completed and maintained as required There was no evidence of this log in the current/most recent files. .0802(g)(1-6) 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. Front staff did not have a recent TB screening/test. The test on file was from 2018. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff that started in September and November did not complete their questonaire until January. .0701(a) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One of the vans used for travel did not have pictures of the children. The black van, which was not used this week did not have any identfying information. 10A NCAC 09 .1003(d) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. There was no signage in the white van. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch on the preschool aged playground measure 4inchs in several places around the structure. .0605(k)(1-4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff did not have this policy signed prior to working with children. .0608(d)(1-4) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Childcare consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 2, 2025. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the recurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place them on a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. I worked with Ms. Ingram on the staff and training worksheet, I left her an example of what staff need to have prior to and months after employment. Update your Emergency Medical plan, and place several places in the building for a quick reference. I would suggest placing in each classroom for Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0325-004A Visit Date: 3/4/2025 Number Present: 52 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 11:38 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Thomasina Montgomery, administrator, accompanied me during a walkthrough of the facility. During the visit, I discussed the allegations with Annie Parsons, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute. .1801(a)(1-5) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently. .0510(e)(4) 807 A safe indoor and outdoor environment was not provided for the children. On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom. G.S. 110-91(10) 904 Child was handled roughly. On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0325-004A Visit Date: 3/4/2025 Number Present: 52 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 11:38 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Thomasina Montgomery, administrator, accompanied me during a walkthrough of the facility. During the visit, I discussed the allegations with Annie Parsons, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute. .1801(a)(1-5) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently. .0510(e)(4) 807 A safe indoor and outdoor environment was not provided for the children. On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom. G.S. 110-91(10) 904 Child was handled roughly. On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0325-004A Visit Date: 3/4/2025 Number Present: 52 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 11:38 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Thomasina Montgomery, administrator, accompanied me during a walkthrough of the facility. During the visit, I discussed the allegations with Annie Parsons, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute. .1801(a)(1-5) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently. .0510(e)(4) 807 A safe indoor and outdoor environment was not provided for the children. On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom. G.S. 110-91(10) 904 Child was handled roughly. On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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 110-105 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0325-004A Visit Date: 3/4/2025 Number Present: 52 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 11:38 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Thomasina Montgomery, administrator, accompanied me during a walkthrough of the facility. During the visit, I discussed the allegations with Annie Parsons, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute. .1801(a)(1-5) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently. .0510(e)(4) 807 A safe indoor and outdoor environment was not provided for the children. On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom. G.S. 110-91(10) 904 Child was handled roughly. On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0325-004A Visit Date: 3/4/2025 Number Present: 52 Completed Date: 3/4/2025 Age: From 0 To 5 Total Minutes: 232 Time In: 11:38 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Thomasina Montgomery, administrator, accompanied me during a walkthrough of the facility. During the visit, I discussed the allegations with Annie Parsons, owner, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On February 27, 2025, a sleeping five-month-old infant was left alone in a classroom for less than one minute. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. On February 27, 2025, staff members left children, including two eight-month-old infants, in a classroom unsupervised for less than one minute. .1801(a)(1-5) 482 For children under three years of age, the caregiver did not provide developmentally appropriate activities that support health and physical development, on a daily basis. On February 27, 2025, two eight-month-old infants, who were able to sit independently, were placed in a bouncer seat designed for children who are unable to sit independently. .0510(e)(4) 807 A safe indoor and outdoor environment was not provided for the children. On February 27, 2025, an eight-month-old infant was carried in a bouncer seat from one classroom to another. The staff member carried the seat with one hand on each side of the child and no support for the child’s body. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On February 27, 2025, a staff member told a preschool-age child to act like he has some sense. It was followed by a statement saying they know he doesn’t have any sense. Additionally, staff spoke to children with a raised voice across the classroom. G.S. 110-91(10) 904 Child was handled roughly. On February 27, 2025, a staff member lifted an eight-month-old infant under the arms in a swift motion, swung the infant in the air with his upper arms causing the infant’s legs to move forward and seated him on the floor where the infant appeared to cry. Additionally, the same staff member lifted the eight-month-old infant from his crib by grasping his upper arms. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On February 27, 2025, one owner, Lawrence Parsons, did not have a current criminal background check on file on March 4, 2025. G.S. 110-90.2(b) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) You may contact me at Leigh Broome, Investigations Consultant, 704-594-0146, leigh.broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: 0524-076L Visit Date: 5/21/2024 Number Present: 63 Completed Date: 5/21/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 01:00 PM Time Out: 02:00 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 investigate a complaint report, Case #: 0524-076L alleging violations of childcare requirements regarding concerns that: There is a concern of inappropriate discipline. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs. Upon arrival I was greeted by the administrator Ms. T. Montgomery. I discussed the purpose of my visit and a a very brief description of the nature of the allegation. The teachers and administrators were given an opportunity to respond to the concerns. During the visit the children were observed napping and actively engaged in center play. School aged children were observed transitioning from the van into the classroom. Enrollment was captured and classrooms were observed to be in ratio and supervised. The following items were monitored and found in compliance during this visit: Capacity, Supervision, use of licensed space, space capacity, license restriction was monitored. The license and emergency care plan were posted. Complaint Visit: Allegation section The reporter could not contact as it was a completely anonyms report with no information to contact. There is a concern of inappropriate discipline. There is a concern that children were not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs. Additional observations and interview: Ten teachers and two administrators were interviewed and asked the following questions: “Have there ever been occasion when they witness children being mistreated, pinched, threatened, yelled at, hit, or spanked?” “Have you heard of any rumors of inappropriate discipline happening in other classrooms?” “Have you witness children being treated unfairly?” “Have there been any incidents where you felt that children’s needs were not met?’ All teachers stated similar answers about Teachers stated that they have not heard or are not aware of any other staff raising their voices at children or incidents of teachers treating children unfairly. Teachers stated that they “love the children”, or “we take care of our babies here”. Administrators stated that “at every staff meeting she reminds teachers of the expectations, and lets them know that if they are ever frustrated to let someone know immediately and they can take a walk to calm down”. Administrator stated that she does not tolerate mistreating children and that if she even suspects something she will investigate and possibly fire staff” Finding: Allegation regarding concerns of inappropriate discipline. Per the above interview and observation this allegation was deemed unsubstantiated. Allegation regarding concerns that Children are not attended to in a nurturing and appropriate manner or in keeping with the children's developmental needs. Per the above interview and observation this allegation was deemed unsubstantiated. Violation Number Comment Rule 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. toddler, twos, and threes year old classroom’s had several cots that were under 18” apart. 15A NCAC 18A .2821(e) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. Required RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 63 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 09:50 AM Time Out: 04:40 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 compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mrs. Annie Parsons, Owner/administrator, and Ms. Montgomery, (new administrator). I stated the purpose of my visit, and I conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners The NC Secretary of State website was viewed before the visit, the business was active and not current. I spoke with the owner about the website, and she immediately called her accounting to rectify the status. Teachers were observed actively engaged with children during center play. Infants were engaged in “tummy time” play, napping, and some were playing with soft toys. Twos and toddlers were engaged in drawing with markers. Children were served milk, cornbread, baked chicken, mustard greens, rice and strawberries for lunch. Children did not go outside today due to active precipitation. INSPECTIONS: The last sanitation inspection was conducted 07-12-202. The last fire inspection was conducted 01-11-2024. The last documented fire drill was conducted 3-05-2024. The last documented shelter-in-place or lockdown drill was conducted 03-26-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and was observed in compliance today. provider stated that she will be purchasing a new van soon. The center’s license and NC childcare law were prominently posted. NCPK: The facility holds a 5 star license and as received the required ECERS-R scores. This facility has ten Nc Pre k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, and celebrations. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. There was no log present in the classroom to kept cumulative. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Teachers cups (space two and three)and bottles and one toddler cup in space two were not labeled or dated 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was no dirty toy bin present, a child dropped a mouth toy and picked up another toy and the original toy remained on the floor. .2822(a)(1-4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. there was peeling paint on the walls in space two, space four. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. a chair in space 2 was in poor repair, exposed metal that was supposed to be covered by fabric. .0601(d) 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. There was a can of oil sheen hair spray and the bleach solution and cleaner were placed on a shelf that was under 5 feet in space space two. .2820(b) 847 Parent's medication authorization did not include required information. There were two creams in space two that did not have the required form, and information was missing. One form did not have the end date. 10A NCAC 09 .0803(4)(6-9) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The sleep policy was not present in the room, only a sleep poster. .0606(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. one child did not have an updated emergency information. .0802(c) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). All classrooms had uncovered trash cans. .0604(v) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 10, 2024. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place in a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: QUWANYA THOMPSON Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 63 Completed Date: 3/27/2024 Age: From 0 To 5 Total Minutes: 410 Time In: 09:50 AM Time Out: 04:40 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 compliance during an annual compliance visit. This center has a four-star license effective November 25, 2022. Upon arrival I was greeted by Mrs. Annie Parsons, Owner/administrator, and Ms. Montgomery, (new administrator). I stated the purpose of my visit, and I conducted the beginning of the visit with Ms. Montgomery. Throughout the visit I was assisted by both owners The NC Secretary of State website was viewed before the visit, the business was active and not current. I spoke with the owner about the website, and she immediately called her accounting to rectify the status. Teachers were observed actively engaged with children during center play. Infants were engaged in “tummy time” play, napping, and some were playing with soft toys. Twos and toddlers were engaged in drawing with markers. Children were served milk, cornbread, baked chicken, mustard greens, rice and strawberries for lunch. Children did not go outside today due to active precipitation. INSPECTIONS: The last sanitation inspection was conducted 07-12-202. The last fire inspection was conducted 01-11-2024. The last documented fire drill was conducted 3-05-2024. The last documented shelter-in-place or lockdown drill was conducted 03-26-2024. The last documented playground inspection was conducted 03/05/2024. The last Annual Compliance was conducted 3/29/2023. Compliance History prior to today’s visit is 90%. The attached checklist was used to note the requirements we monitored today. Staff and children’s records were reviewed today. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program, and management. The outdoor environment was only partially monitored, I will monitor fully at the next visit. Transportation was monitored and was observed in compliance today. provider stated that she will be purchasing a new van soon. The center’s license and NC childcare law were prominently posted. NCPK: The facility holds a 5 star license and as received the required ECERS-R scores. This facility has ten Nc Pre k children in the facility. The NC Pre-K Monitoring Tool was viewed today. The monitoring tool was present, Health assessments, developmental screenings, dental and vision screenings were in compliance for the files. The facility uses Creative Curriculum and the Dial for assessments. Ongoing self-made assessments are conducted throughout the school year to track children’s ongoing progress. Samples of the children’s work are completed using information gained from the assessments and shared with parents. The classroom operates for the required 32.5 hours per week. Parent/teacher conferences are held two times per year. There was also evidence of family involvement with meetings, and celebrations. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. There was no log present in the classroom to kept cumulative. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Teachers cups (space two and three)and bottles and one toddler cup in space two were not labeled or dated 15A NCAC 18A .2804(d) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. There was no dirty toy bin present, a child dropped a mouth toy and picked up another toy and the original toy remained on the floor. .2822(a)(1-4) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. there was peeling paint on the walls in space two, space four. 15A NCAC 18A .2825(a) 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. a chair in space 2 was in poor repair, exposed metal that was supposed to be covered by fabric. .0601(d) 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. There was a can of oil sheen hair spray and the bleach solution and cleaner were placed on a shelf that was under 5 feet in space space two. .2820(b) 847 Parent's medication authorization did not include required information. There were two creams in space two that did not have the required form, and information was missing. One form did not have the end date. 10A NCAC 09 .0803(4)(6-9) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The sleep policy was not present in the room, only a sleep poster. .0606(b) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. one child did not have an updated emergency information. .0802(c) 1830 Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). All classrooms had uncovered trash cans. .0604(v) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below or email by April 10, 2024. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Technical assistance: Change your allergy board, combine the sheets and place in a protective sheet cover to hide sensitive information for the children. Suggestion: list the children who have allergies on one sheet to make it easier for teachers to read at a glance. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0224-322A Visit Date: 2/27/2024 Number Present: 61 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 144 Time In: 09:06 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Annie Parsons, Owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Parsons and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On February 22, 2024, a staff member attempted to provide transportation while intoxicated. 10A NCAC 09 .0601(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. On February 22, 2024, a staff member attempted to transport a child in a vehicle without a fire extinguisher or first aid kit. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. On February 22, 2024, a staff member used a vehicle to attempt to transport a school-age child without identifying information, photograph, contact information and emergency medical care information. 10A NCAC 09 .1003(d) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, March 5, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146, Leigh.Broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov. Thank you for your time. 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 .1003 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0224-322A Visit Date: 2/27/2024 Number Present: 61 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 144 Time In: 09:06 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Annie Parsons, Owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Parsons and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On February 22, 2024, a staff member attempted to provide transportation while intoxicated. 10A NCAC 09 .0601(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. On February 22, 2024, a staff member attempted to transport a child in a vehicle without a fire extinguisher or first aid kit. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. On February 22, 2024, a staff member used a vehicle to attempt to transport a school-age child without identifying information, photograph, contact information and emergency medical care information. 10A NCAC 09 .1003(d) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, March 5, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146, Leigh.Broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov. Thank you for your time. 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

GS 110-105 · Violation

Name of Operation: C'S & T'S CHILD CARE, INC Facility ID: 04000229 Consultant: LEIGH BROOME Operation Type: Center Case Number: 0224-322A Visit Date: 2/27/2024 Number Present: 61 Completed Date: 2/27/2024 Age: From 0 To 5 Total Minutes: 144 Time In: 09:06 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Annie Parsons, Owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Parsons and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On February 22, 2024, a staff member attempted to provide transportation while intoxicated. 10A NCAC 09 .0601(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. On February 22, 2024, a staff member attempted to transport a child in a vehicle without a fire extinguisher or first aid kit. 10A NCAC 09 .1003(c) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. On February 22, 2024, a staff member used a vehicle to attempt to transport a school-age child without identifying information, photograph, contact information and emergency medical care information. 10A NCAC 09 .1003(d) 1810 There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment. GS 110-105.6(a) Violations must be corrected immediately. Within one week, March 5, 2024, you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at Leigh Broome, Investigations Consultant, Leigh.Broome@dhhs.nc.gov. You may contact me at Leigh Broome, 704-594-0146, Leigh.Broome@dhhs.nc.gov or Veronica Grant, South Central Investigations Supervisor, Veronica.Grant@dhhs.nc.gov. Thank you for your time. 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.