10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 14 Completed Date: 9/23/2025 Age: From 4 To 4 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not use the side of the playground with School Age equipment, or beyond, near the trees. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classroom. The last annual compliance visit was conducted on 10/04/2024. A sanitation inspection was completed 4/04/2025 with a Superior classification. The last fire inspection was conducted on 2/03/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/20/2025. A lockdown drill was documented on 8/26/2025. An outdoor inspection was documented on 9/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was not observed to be recorded for two children enrolled in care. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. A vegetable was not available to provide to one child enrolled who brought a lunch without a vegetable component and does not opt out of the menu. 10A NCAC 09 .0901(b) 1302 Individual applications were not on file for each child. The application for one child was not observed on file for review. 10A NCAC 09 .0801(a) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled was not observed completed and on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. A hearing screening was not observed completed and on file for one child enrolled. .3005 (a)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions. The vision and hearing screening was not observed on file for one child enrolled in care. The application for one child enrolled was not observed on file for review. It is imperative that all screenings and records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not complete or that they were not on file. You may consider reviewing all child files as they are received to ensure all necessary documentation is received, complete, and on file within the time frame required. Consultation Provided During Visit: • Please change the role of Ms. Jordan to Administrator in the ABCMS system. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 14 Completed Date: 9/23/2025 Age: From 4 To 4 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not use the side of the playground with School Age equipment, or beyond, near the trees. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classroom. The last annual compliance visit was conducted on 10/04/2024. A sanitation inspection was completed 4/04/2025 with a Superior classification. The last fire inspection was conducted on 2/03/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/20/2025. A lockdown drill was documented on 8/26/2025. An outdoor inspection was documented on 9/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was not observed to be recorded for two children enrolled in care. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. A vegetable was not available to provide to one child enrolled who brought a lunch without a vegetable component and does not opt out of the menu. 10A NCAC 09 .0901(b) 1302 Individual applications were not on file for each child. The application for one child was not observed on file for review. 10A NCAC 09 .0801(a) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled was not observed completed and on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. A hearing screening was not observed completed and on file for one child enrolled. .3005 (a)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions. The vision and hearing screening was not observed on file for one child enrolled in care. The application for one child enrolled was not observed on file for review. It is imperative that all screenings and records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not complete or that they were not on file. You may consider reviewing all child files as they are received to ensure all necessary documentation is received, complete, and on file within the time frame required. Consultation Provided During Visit: • Please change the role of Ms. Jordan to Administrator in the ABCMS system. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 14 Completed Date: 9/23/2025 Age: From 4 To 4 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not use the side of the playground with School Age equipment, or beyond, near the trees. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classroom. The last annual compliance visit was conducted on 10/04/2024. A sanitation inspection was completed 4/04/2025 with a Superior classification. The last fire inspection was conducted on 2/03/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/20/2025. A lockdown drill was documented on 8/26/2025. An outdoor inspection was documented on 9/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was not observed to be recorded for two children enrolled in care. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. A vegetable was not available to provide to one child enrolled who brought a lunch without a vegetable component and does not opt out of the menu. 10A NCAC 09 .0901(b) 1302 Individual applications were not on file for each child. The application for one child was not observed on file for review. 10A NCAC 09 .0801(a) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled was not observed completed and on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. A hearing screening was not observed completed and on file for one child enrolled. .3005 (a)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions. The vision and hearing screening was not observed on file for one child enrolled in care. The application for one child enrolled was not observed on file for review. It is imperative that all screenings and records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not complete or that they were not on file. You may consider reviewing all child files as they are received to ensure all necessary documentation is received, complete, and on file within the time frame required. Consultation Provided During Visit: • Please change the role of Ms. Jordan to Administrator in the ABCMS system. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 14 Completed Date: 9/23/2025 Age: From 4 To 4 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 80% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not use the side of the playground with School Age equipment, or beyond, near the trees. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classroom. The last annual compliance visit was conducted on 10/04/2024. A sanitation inspection was completed 4/04/2025 with a Superior classification. The last fire inspection was conducted on 2/03/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 8/20/2025. A lockdown drill was documented on 8/26/2025. An outdoor inspection was documented on 9/05/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was not observed to be recorded for two children enrolled in care. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. A vegetable was not available to provide to one child enrolled who brought a lunch without a vegetable component and does not opt out of the menu. 10A NCAC 09 .0901(b) 1302 Individual applications were not on file for each child. The application for one child was not observed on file for review. 10A NCAC 09 .0801(a) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled was not observed completed and on file. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. A hearing screening was not observed completed and on file for one child enrolled. .3005 (a)(4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/07/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions. The vision and hearing screening was not observed on file for one child enrolled in care. The application for one child enrolled was not observed on file for review. It is imperative that all screenings and records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not complete or that they were not on file. You may consider reviewing all child files as they are received to ensure all necessary documentation is received, complete, and on file within the time frame required. Consultation Provided During Visit: • Please change the role of Ms. Jordan to Administrator in the ABCMS system. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/28/2025 Number Present: 13 Completed Date: 3/28/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teachers. Principal, Diana Ora-McIntosh, was also onsite during the visit. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment may not be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers, participating in general routines, playing outdoors, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 11/04/2024. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 3/05/2025. The most recent fire inspection was on 9/04/2024. I observed a sanitation inspection was last conducted on 12/04/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor playground used by children enrolled was observed to be open while children were using the playground. .0605(i) 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. One small bottle of hand sanitizer was observed stored less than five feet from the ground in a set of plastic drawers. Two bottles of hand sanitizer were observed inside a set of unlocked filing cabinet drawers, less than five feet from the ground. A Swiffer Wet Jet mop with a bottle of cleanser inserted, labeled Keep Out of Reach of Children with additional warnings, was observed hanging from the bathroom door used by children. Emergency medications for children enrolled were observed stored less than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization form for one child with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was observed not to have been recorded since 11/04/2024. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The principal did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/11/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The principal, Ms. D. Ora-McIntosh, did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. I stated to Ms. Ora-McIntosh she may not visit Room 109 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Ora-McIntosh stated she has already completed the online application to begin the CBC renewal process and that she will have her fingerprints taken in the near future. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. It is imperative for all required medication documentation to current and on file for review to ensure the health and safety of children enrolled. Ms. Lewis stated she had not realized emergency medications for children enrolled must have both a medical action plan, and a prescription medication form completed and on file. We discussed each of these forms (as well as when each is required) during the visit. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. Ms. Lewis stated this playground is also used by the public after school hours are over. During the visit, Ms. Ora-McIntosh stated she would discuss with janitorial staff having this area inspected and trash emptied prior to enrolled children using this playground daily. Ms. Lewis also stated she and Ms. Wigand will inspect the playground for trash and debris prior to children using this environment daily. A playground inspection was observed not to have been recorded since 11/04/2024. Ms. Lewis stated that with the inclement weather and holiday closings, this was an oversight. It is important for the outdoor environment to be a clean and safe place for children to engage with and explore at all times. You may consider placing a reminder on your monthly calendar to ensure playground inspections are completed monthly. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Lewis during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding substitutions being recorded on the menu prior to meal service. • As a reminder, when a child has an emergency medication, both a medication authorization form and a medical action plan are required. If these medications are due to an allergy, all paperwork should have the specific allergy recorded. If the medication is not considered an emergency medication, only a medication authorization form is required. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/28/2025 Number Present: 13 Completed Date: 3/28/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teachers. Principal, Diana Ora-McIntosh, was also onsite during the visit. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment may not be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers, participating in general routines, playing outdoors, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 11/04/2024. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 3/05/2025. The most recent fire inspection was on 9/04/2024. I observed a sanitation inspection was last conducted on 12/04/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor playground used by children enrolled was observed to be open while children were using the playground. .0605(i) 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. One small bottle of hand sanitizer was observed stored less than five feet from the ground in a set of plastic drawers. Two bottles of hand sanitizer were observed inside a set of unlocked filing cabinet drawers, less than five feet from the ground. A Swiffer Wet Jet mop with a bottle of cleanser inserted, labeled Keep Out of Reach of Children with additional warnings, was observed hanging from the bathroom door used by children. Emergency medications for children enrolled were observed stored less than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization form for one child with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was observed not to have been recorded since 11/04/2024. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The principal did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/11/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The principal, Ms. D. Ora-McIntosh, did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. I stated to Ms. Ora-McIntosh she may not visit Room 109 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Ora-McIntosh stated she has already completed the online application to begin the CBC renewal process and that she will have her fingerprints taken in the near future. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. It is imperative for all required medication documentation to current and on file for review to ensure the health and safety of children enrolled. Ms. Lewis stated she had not realized emergency medications for children enrolled must have both a medical action plan, and a prescription medication form completed and on file. We discussed each of these forms (as well as when each is required) during the visit. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. Ms. Lewis stated this playground is also used by the public after school hours are over. During the visit, Ms. Ora-McIntosh stated she would discuss with janitorial staff having this area inspected and trash emptied prior to enrolled children using this playground daily. Ms. Lewis also stated she and Ms. Wigand will inspect the playground for trash and debris prior to children using this environment daily. A playground inspection was observed not to have been recorded since 11/04/2024. Ms. Lewis stated that with the inclement weather and holiday closings, this was an oversight. It is important for the outdoor environment to be a clean and safe place for children to engage with and explore at all times. You may consider placing a reminder on your monthly calendar to ensure playground inspections are completed monthly. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Lewis during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding substitutions being recorded on the menu prior to meal service. • As a reminder, when a child has an emergency medication, both a medication authorization form and a medical action plan are required. If these medications are due to an allergy, all paperwork should have the specific allergy recorded. If the medication is not considered an emergency medication, only a medication authorization form is required. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/28/2025 Number Present: 13 Completed Date: 3/28/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teachers. Principal, Diana Ora-McIntosh, was also onsite during the visit. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment may not be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers, participating in general routines, playing outdoors, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 11/04/2024. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 3/05/2025. The most recent fire inspection was on 9/04/2024. I observed a sanitation inspection was last conducted on 12/04/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor playground used by children enrolled was observed to be open while children were using the playground. .0605(i) 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. One small bottle of hand sanitizer was observed stored less than five feet from the ground in a set of plastic drawers. Two bottles of hand sanitizer were observed inside a set of unlocked filing cabinet drawers, less than five feet from the ground. A Swiffer Wet Jet mop with a bottle of cleanser inserted, labeled Keep Out of Reach of Children with additional warnings, was observed hanging from the bathroom door used by children. Emergency medications for children enrolled were observed stored less than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization form for one child with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was observed not to have been recorded since 11/04/2024. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The principal did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/11/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The principal, Ms. D. Ora-McIntosh, did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. I stated to Ms. Ora-McIntosh she may not visit Room 109 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Ora-McIntosh stated she has already completed the online application to begin the CBC renewal process and that she will have her fingerprints taken in the near future. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. It is imperative for all required medication documentation to current and on file for review to ensure the health and safety of children enrolled. Ms. Lewis stated she had not realized emergency medications for children enrolled must have both a medical action plan, and a prescription medication form completed and on file. We discussed each of these forms (as well as when each is required) during the visit. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. Ms. Lewis stated this playground is also used by the public after school hours are over. During the visit, Ms. Ora-McIntosh stated she would discuss with janitorial staff having this area inspected and trash emptied prior to enrolled children using this playground daily. Ms. Lewis also stated she and Ms. Wigand will inspect the playground for trash and debris prior to children using this environment daily. A playground inspection was observed not to have been recorded since 11/04/2024. Ms. Lewis stated that with the inclement weather and holiday closings, this was an oversight. It is important for the outdoor environment to be a clean and safe place for children to engage with and explore at all times. You may consider placing a reminder on your monthly calendar to ensure playground inspections are completed monthly. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Lewis during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding substitutions being recorded on the menu prior to meal service. • As a reminder, when a child has an emergency medication, both a medication authorization form and a medical action plan are required. If these medications are due to an allergy, all paperwork should have the specific allergy recorded. If the medication is not considered an emergency medication, only a medication authorization form is required. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/28/2025 Number Present: 13 Completed Date: 3/28/2025 Age: From 4 To 5 Total Minutes: 170 Time In: 10:55 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teachers. Principal, Diana Ora-McIntosh, was also onsite during the visit. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; meets enhanced ratios minus one; and School Age equipment may not be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers, participating in general routines, playing outdoors, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 11/04/2024. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 3/05/2025. The most recent fire inspection was on 9/04/2024. I observed a sanitation inspection was last conducted on 12/04/2024 earning a Superior classification. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 826 Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the outdoor playground used by children enrolled was observed to be open while children were using the playground. .0605(i) 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. One small bottle of hand sanitizer was observed stored less than five feet from the ground in a set of plastic drawers. Two bottles of hand sanitizer were observed inside a set of unlocked filing cabinet drawers, less than five feet from the ground. A Swiffer Wet Jet mop with a bottle of cleanser inserted, labeled Keep Out of Reach of Children with additional warnings, was observed hanging from the bathroom door used by children. Emergency medications for children enrolled were observed stored less than five feet from the ground. .2820(b) 847 Parent's medication authorization did not include required information. In Room 109 (Space 1), the medication authorization form for one child with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was observed not to have been recorded since 11/04/2024. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The principal did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/11/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The principal, Ms. D. Ora-McIntosh, did not have a current Criminal Background Check Qualification Letter on file; this letter expired on 10/09/2024. I stated to Ms. Ora-McIntosh she may not visit Room 109 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Ora-McIntosh stated she has already completed the online application to begin the CBC renewal process and that she will have her fingerprints taken in the near future. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 109 (Space 1), the medication authorization forms for two child enrolled with emergency medications (three total permission forms) were not observed on file. It is imperative for all required medication documentation to current and on file for review to ensure the health and safety of children enrolled. Ms. Lewis stated she had not realized emergency medications for children enrolled must have both a medical action plan, and a prescription medication form completed and on file. We discussed each of these forms (as well as when each is required) during the visit. Debris and trash, including a folded up dirty diaper, were observed on the ground of the playground used by children enrolled. Ms. Lewis stated this playground is also used by the public after school hours are over. During the visit, Ms. Ora-McIntosh stated she would discuss with janitorial staff having this area inspected and trash emptied prior to enrolled children using this playground daily. Ms. Lewis also stated she and Ms. Wigand will inspect the playground for trash and debris prior to children using this environment daily. A playground inspection was observed not to have been recorded since 11/04/2024. Ms. Lewis stated that with the inclement weather and holiday closings, this was an oversight. It is important for the outdoor environment to be a clean and safe place for children to engage with and explore at all times. You may consider placing a reminder on your monthly calendar to ensure playground inspections are completed monthly. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Lewis during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding substitutions being recorded on the menu prior to meal service. • As a reminder, when a child has an emergency medication, both a medication authorization form and a medical action plan are required. If these medications are due to an allergy, all paperwork should have the specific allergy recorded. If the medication is not considered an emergency medication, only a medication authorization form is required. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0515 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/4/2024 Number Present: 15 Completed Date: 10/4/2024 Age: From 4 To 5 Total Minutes: 355 Time In: 08:20 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Substitute staff member, Katherine Smith, was present for a part of the visit. Substitute staff member and WSFCS Licensing Specialist, Laquetta Williams, was also present for the remainder of the visit. Additionally, Diana McIntosh, Principal, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Ms. Lewis stated the children do not used the side of the playground with School Age equipment, or beyond, near the trees, unless the class is taking an occasional supervised nature walk. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/12/2023. A sanitation inspection was completed 4/10/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/23/2024. A lockdown drill was documented on 9/19/2024. An outdoor inspection was documented on 9/03/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. All required documentation pertaining to medication was monitored. Ms. Lewis stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum Nights, school events, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Lewis stated it has not yet been received from the NCPK contractor; Ms. Lewis shared she would email me a copy of this completed tool once it has been received. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were monitored. The current NC Pre-K staff are lead teacher, Connie Lewis and teacher, Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed during the visit. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/13/2018 was 5.53. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Cheerios were recorded on the breakfast menu for today, but cherry strudel was served instead. Spicy black beans were recorded on the lunch menu for today, but corn was served instead. Neither substitution was recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. .0604(t); .0302(d)(5) 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. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The original container for an inhaler for one child enrolled was not observed onsite. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled was not observed on file for review. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The employee file for one substitute staff member was not available for review with required information. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2022. G.S. 110-90.2(b) & .2703(n)&(o) 1061 One staff member had not completed training in playground safety. A Playground Safety Training certificate was not observed on file for review for the lead teacher or assistant teacher. .1102(e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A parent participation plan was not observed to be posted in the classroom, nor was a signed receipt of the plan observed in the child files reviewed. 10A NCAC 09 .0515(a) 1767 The health assessment did not include a vision screening. A vision screening was not on file for review for one child enrolled. .3005 (a)(3) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A substitute staff member in Space 109 was not present in the classroom when I arrived for the visit, leaving the other staff member with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A beverage cup with a fast food logo was observed accessible to children. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. .0604(u);.0302(d)(8) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the facility's Risk Management plan was not observed on file for one staff member. .0607(e) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center. .0604(q) 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. A signed receipt of the Shaken Baby Syndrome and Abusive Head Trauma policy was not observed on file for review for one staff member. .0608(d)(1-4) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING (e)(6) states (e) Handwashing procedures shall include the following steps: (6) turning off faucet with a paper towel or other method without re-contaminating hands. Two children enrolled were observed to turn off the water after washing hands without using a paper towel. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/18/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff:child ratio requirements. Technical Assistance Provided During Visit: A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions or the length of time the authorization is valid, if less than six months. A medication authorization form for one child enrolled with an inhaler was not observed on file for review. The original container for an inhaler for one child enrolled was not observed onsite. A fire drill was not observed to be recorded for the month of June, 2024; the last day of school for children enrolled for the 2023/2024 school year was June 7, 2024. The last lockdown drill was completed on 9/19/2024; the most recent lockdown drill completed prior to this drill was 3/09/2024. The employee file for one substitute staff member was not available for review with required information. It is imperative that medication, emergency, and staff records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Lewis stated she was not aware these forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. We also discussed that if children attend school for only a portion of a month, a fire drill must still be conducted during the time the children are still in care. A substitute staff member assigned to Space 109 today was not present in the classroom when I arrived for the visit, leaving the other staff member alone with 13 children. Additionally, the substitute staff member was observed to leave the room one time for approximately five minutes to get breakfast for a child who arrived late, leaving the other staff member alone with 14 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. I stated to Ms. Lewis and Ms. Smith that two staff are required to maintain staff/child ratios for NC Pre-K classrooms at all times. You may consider contacting the office or cafeteria via phone if food or materials are needed in the classroom. Both staff members remained in the classroom for the remainder of the visit. K. Smith, substitute staff member, was observed to have a Criminal Background Check qualification letter which expired on 8/21/2024 (qualification date was recorded as 8/21/2019). A financial administrator for the facility stated fifteen regular staff were out today, and she had tried to find a Pre-K qualified substitute, but none responded. She also stated that in the past, she had served as the Pre-K substitute, but no longer had a current qualifying letter on file. Ms. Laquetta Williams, WSFCS Licensing Specialist, was contacted during the visit and arrived to staff the classroom with Ms. Lewis for the remainder of the school day. Four small bottles of hand sanitizer were observed stored less than five feet from the ground and accessible to children; one bottle was observed inside a small plastic set of teacher’s drawers on a counter next to the entrance of the classroom. The other three bottles were observed inside a set of wooden drawers accessed by children containing glitter in the art center. Each of these bottles was placed five feet above the ground during the visit. Three bags of rubber bands were observed inside a set of wooden drawers accessed by children in the art center; each of these bags of rubber bands was made inaccessible to children during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Lewis during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (h) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 17 Completed Date: 4/18/2024 Age: From 4 To 5 Total Minutes: 130 Time In: 11:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and reading books with their teachers, participating in general routines, and eating lunch during the visit. No new staff were reported at this program. One emergency medication was observed for one child enrolled. Storage and administration of medication and medication authorization were monitored and observed to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 3/26/2024. A lockdown drill for the facility was recorded 3/27/2024. The most recent fire inspection was on 9/15/2023. I observed a sanitation inspection was last conducted on 4/10/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child enrolled was not recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet near the handwashing sink and water table was observed without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. At least 23 pieces of trash and debris were observed on the playground used by preschool children. 10A NCAC 09 .0604(p) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/02/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The arrival time for one child enrolled was not recorded. It is imperative that all children are signed in at the point of service as they arrive and depart each day to ensure all staff know exactly who is present in the classroom at all times. The Teacher Assistant stated the child’s father overlooked signing the child into the classroom this morning. I recommended both teachers check records of arrival and departure as parents arrive and leave to ensure all children have a recorded time in and time out. One outlet near the handwashing sink and water table was observed without a safety cover. This was corrected during the visit. At least 23 pieces of trash and debris were observed on the playground used by preschool children. It is important for this play area to be free of trash and debris to ensure the health and safety of the children using the area. I recommended a teacher enter the playground prior to the children using the area each day to monitor the outdoor learning environment for any items which may need to be disposed of. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. Ms. Lewis stated this part of the non-stationary playhouse can be covered with a protective adhesive covering over the sharp areas. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. Ms. Lewis placed a work order for this nest to be removed during the visit. It is critical for this play area to be free of safety issues to ensure the safety of the children using the area. I recommended Ms. Lewis add this item to their playground inspection and to consider monitoring this daily. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. This cabinet was locked during the visit. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Lewis during the visit: I emailed a copy of the Asthma Medical Action Plan from the Division website to Ms. Lewis during the visit. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) Medical Action Plans • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 17 Completed Date: 4/18/2024 Age: From 4 To 5 Total Minutes: 130 Time In: 11:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and reading books with their teachers, participating in general routines, and eating lunch during the visit. No new staff were reported at this program. One emergency medication was observed for one child enrolled. Storage and administration of medication and medication authorization were monitored and observed to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 3/26/2024. A lockdown drill for the facility was recorded 3/27/2024. The most recent fire inspection was on 9/15/2023. I observed a sanitation inspection was last conducted on 4/10/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child enrolled was not recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet near the handwashing sink and water table was observed without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. At least 23 pieces of trash and debris were observed on the playground used by preschool children. 10A NCAC 09 .0604(p) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/02/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The arrival time for one child enrolled was not recorded. It is imperative that all children are signed in at the point of service as they arrive and depart each day to ensure all staff know exactly who is present in the classroom at all times. The Teacher Assistant stated the child’s father overlooked signing the child into the classroom this morning. I recommended both teachers check records of arrival and departure as parents arrive and leave to ensure all children have a recorded time in and time out. One outlet near the handwashing sink and water table was observed without a safety cover. This was corrected during the visit. At least 23 pieces of trash and debris were observed on the playground used by preschool children. It is important for this play area to be free of trash and debris to ensure the health and safety of the children using the area. I recommended a teacher enter the playground prior to the children using the area each day to monitor the outdoor learning environment for any items which may need to be disposed of. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. Ms. Lewis stated this part of the non-stationary playhouse can be covered with a protective adhesive covering over the sharp areas. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. Ms. Lewis placed a work order for this nest to be removed during the visit. It is critical for this play area to be free of safety issues to ensure the safety of the children using the area. I recommended Ms. Lewis add this item to their playground inspection and to consider monitoring this daily. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. This cabinet was locked during the visit. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Lewis during the visit: I emailed a copy of the Asthma Medical Action Plan from the Division website to Ms. Lewis during the visit. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) Medical Action Plans • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 17 Completed Date: 4/18/2024 Age: From 4 To 5 Total Minutes: 130 Time In: 11:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and reading books with their teachers, participating in general routines, and eating lunch during the visit. No new staff were reported at this program. One emergency medication was observed for one child enrolled. Storage and administration of medication and medication authorization were monitored and observed to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 3/26/2024. A lockdown drill for the facility was recorded 3/27/2024. The most recent fire inspection was on 9/15/2023. I observed a sanitation inspection was last conducted on 4/10/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child enrolled was not recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet near the handwashing sink and water table was observed without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. At least 23 pieces of trash and debris were observed on the playground used by preschool children. 10A NCAC 09 .0604(p) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/02/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The arrival time for one child enrolled was not recorded. It is imperative that all children are signed in at the point of service as they arrive and depart each day to ensure all staff know exactly who is present in the classroom at all times. The Teacher Assistant stated the child’s father overlooked signing the child into the classroom this morning. I recommended both teachers check records of arrival and departure as parents arrive and leave to ensure all children have a recorded time in and time out. One outlet near the handwashing sink and water table was observed without a safety cover. This was corrected during the visit. At least 23 pieces of trash and debris were observed on the playground used by preschool children. It is important for this play area to be free of trash and debris to ensure the health and safety of the children using the area. I recommended a teacher enter the playground prior to the children using the area each day to monitor the outdoor learning environment for any items which may need to be disposed of. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. Ms. Lewis stated this part of the non-stationary playhouse can be covered with a protective adhesive covering over the sharp areas. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. Ms. Lewis placed a work order for this nest to be removed during the visit. It is critical for this play area to be free of safety issues to ensure the safety of the children using the area. I recommended Ms. Lewis add this item to their playground inspection and to consider monitoring this daily. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. This cabinet was locked during the visit. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Lewis during the visit: I emailed a copy of the Asthma Medical Action Plan from the Division website to Ms. Lewis during the visit. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) Medical Action Plans • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 4/18/2024 Number Present: 17 Completed Date: 4/18/2024 Age: From 4 To 5 Total Minutes: 130 Time In: 11:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher. Your program currently operates with a 5-Star license effective 5/15/2023. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment cannot be used by preschool children. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and reading books with their teachers, participating in general routines, and eating lunch during the visit. No new staff were reported at this program. One emergency medication was observed for one child enrolled. Storage and administration of medication and medication authorization were monitored and observed to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 4/18/2024. A fire drill was recorded 3/26/2024. A lockdown drill for the facility was recorded 3/27/2024. The most recent fire inspection was on 9/15/2023. I observed a sanitation inspection was last conducted on 4/10/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for one child enrolled was not recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet near the handwashing sink and water table was observed without a safety cover. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. At least 23 pieces of trash and debris were observed on the playground used by preschool children. 10A NCAC 09 .0604(p) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/02/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The arrival time for one child enrolled was not recorded. It is imperative that all children are signed in at the point of service as they arrive and depart each day to ensure all staff know exactly who is present in the classroom at all times. The Teacher Assistant stated the child’s father overlooked signing the child into the classroom this morning. I recommended both teachers check records of arrival and departure as parents arrive and leave to ensure all children have a recorded time in and time out. One outlet near the handwashing sink and water table was observed without a safety cover. This was corrected during the visit. At least 23 pieces of trash and debris were observed on the playground used by preschool children. It is important for this play area to be free of trash and debris to ensure the health and safety of the children using the area. I recommended a teacher enter the playground prior to the children using the area each day to monitor the outdoor learning environment for any items which may need to be disposed of. The plastic base of the non-stationary playhouse on the playground used by preschool children was observed to be broken and sharp to the touch. Ms. Lewis stated this part of the non-stationary playhouse can be covered with a protective adhesive covering over the sharp areas. A live wasp was observed crawling into its nest, located inside the top of the stationary structure located on the playground accessible to children. Ms. Lewis placed a work order for this nest to be removed during the visit. It is critical for this play area to be free of safety issues to ensure the safety of the children using the area. I recommended Ms. Lewis add this item to their playground inspection and to consider monitoring this daily. The purse for one staff member was observed in the second drawer of an unlocked filing cabinet less than five feet from the ground, accessible to children. This cabinet was locked during the visit. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Lewis during the visit: I emailed a copy of the Asthma Medical Action Plan from the Division website to Ms. Lewis during the visit. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) Medical Action Plans • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0515 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WALKERTOWN ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001239 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 10/12/2023 Number Present: 14 Completed Date: 10/12/2023 Age: From 4 To 5 Total Minutes: 330 Time In: 10:00 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 109 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Connie Lewis, Lead Teacher and Karen Wigand, Assistant Teacher. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment cannot be used by preschoolers. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. A menu for the current week was not posted for snack. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Two children enrolled did not have a recorded time of arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 11/02/2022. A sanitation inspection was completed 2/21/2023 with a Superior classification. The last fire inspection was conducted on 9/15/2023. Ms. Lewis provided me a copy of this inspection during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/07/2023. The most recent lockdown drill was documented on 3/09/2022. An outdoor inspection was documented on 10/02/2023. Staff files and children’s records were monitored per DCDEE procedures. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. A signed Annual EPR review for one existing staff member was not on file for review. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. The application for enrollment for one child enrolled was not signed by a parent, and did not include the names of those to whom the facility is authorized to release the child. A dental screening was not on file for two children enrolled. A hearing screening had been attempted, but not completed for one child enrolled. The Public School Offsite Records Verification forms for Staff were observed to be complete and available for review. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled is prescribed a medication. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. The program does not transport children, participate in off-premise activities or participate in aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five- star licensed facilities where four-year-old children are enrolled. The first day of school was 8/28/2023. The Environment Rating Scale score received on 2/13/2018 was 5.53. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). ASQ – SE 2 and SE 3 developmental screenings, completed by Smart Start of Forsyth County, were observed to be conducted for children enrolled. To promote family engagement, the teachers hold parent-teacher conferences three times per year either in-person, during home visits, via phone, or via Zoom, communicate to parents regularly through Class Dojo, face-to-face at drop-off each morning, Daily Folders, monthly newsletters, and via phone and email. Ms. Lewis stated that parents also make donations to the classroom for events such as holidays and birthdays. Parents are additionally invited to have lunch with their children. Teachers reach out to families via phone call or Class Dojo on the first day that a child is absent to find out the reason for the absence, and they send Ready Rosie and Second Step at-home activities to families to support the home/school partnership. Open House is hosted at the beginning of the year for all parents, and parents and families are invited to be a part of the PTA. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not completed for review today and is not due to be submitted to the NCPK contractor until 10/31/23. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teacher Connie Lewis and Assistant Teacher Karen Wigand. A selection of files was monitored for completed health assessments and developmental screenings. A copy of the dental screening was not observed on file for two children enrolled within thirty days of enrollment; the children were enrolled on 8/28/2023. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not posted. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Turkey hot dogs and buns, glazed carrots, pineapple tidbits, fresh whole fruit, and milk were posted on the menu to serve children for lunch. Applesauce was served instead of the aforementioned fruit choices, and this substitution was not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. One of the plastic countertops of a nonstationary play structure on the playground was severely broken off and partially detached from the structure, creating areas sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form also did not include the subject medical condition or allergic reaction for which the medication was prescribed. 10A NCAC 09 .0803(4)(6-9) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for two children enrolled. A copy of the Parent Participation Plan was also not posted in the classroom for review. 10A NCAC 09 .0515(a) 1303 Application was not signed by the parent. The application for one child enrolled was not signed by a parent. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. The application for enrollment for one child enrolled did not include the names of those to whom the facility is authorized to release the child. .0801(a)(7) 1768 The health assessment did not include a hearing screening. The file for one child enrolled had an attempted hearing screening, but not a completed hearing screening. .3005 (a)(4) 1769 The health assessment did not include a dental screening. The files for two children enrolled did not include a dental screening. .3005 (a)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was documented on 3/09/2022. .0604(u);.0302(d)(8) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. A signed Annual EPR review for one existing staff member was not on file for review. .0607(f) 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. A signed receipt of the Shaken Baby Head Trauma Policy for one existing staff member was not on file for review. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The name of the medication on the medication authorization form did not match the name of the medication stored in its original container. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before October 26 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional visits may be made during the year to monitor child care requirements. Technical assistance provided during today’s visit: The following Child Care Rules were reviewed and thoroughly discussed with Ms. Lewis during the visit: 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (d) A child's parent may opt out of the supplemental food provided by the center as set forth in G.S. 110-91(2)h.1. When a child's parent opts out of the supplemental food provided by the center, the parent shall sign a statement acknowledging the parental decision shall be kept in the child's file at the center and a copy provided to the parent. A child’s parent may opt out of the supplemental food provided by the center, subject to the following: (1) the center shall not provide any food or drink so long as the child's parent or guardian provides all meals, snacks, and drinks scheduled to be served at the center's designated times; (2) the ability to opt out of specific meals or days based on menu options is not available; (3) if a child requests specific foods being served to other children, but the parent has opted out, the center shall not serve supplemental food; and (4) if the child's parent or guardian has opted out, but does not provide all meals and snacks for the child, the center shall replace the missing meal or snack as if the child's parent or guardian had not opted out of the supplemental food program. (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. (h) The food required by special diets for medical, religious, or cultural reasons, or parental preferences, may be provided by the center or may be brought to the center by the parents. If the diet is prescribed by a health care professional, a statement signed by the health care professional shall be on file at the center and written instructions shall be provided by the child's parent, health care professional, or a licensed dietitian/nutritionist. If the diet is not prescribed by a health care professional, written instructions shall be provided by the child's parent and shall be on file at the center. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. • Please be reminded that a fire drill must be completed monthly, when the children are present, regardless of the number of days the program is open that month. If the facility is closed for the entire month, you can mark it closed on the fire drill log. For example, if the first day of program operation with children attending was on Monday, August 29th, 2022, a fire drill would need to be completed on 8/29, 8/30, or 8/31. Then, an additional fire drill would need to be completed during the month of September, and so on. If the final day of program operation with children attending was June 9th, 2022, a fire drill would need to be conducted at some point between 6/1/22 and 6/9/22 when children are present. Conducting a fire drill during the latter portion of the month in scenarios where an unlicensed summer program may still be in operation would not be considered in compliance. - Operational policies must be discussed with parents on or before the child's first day and/or they must be notified in writing of all changes to these policies. • Please consider adding a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please review all children’s files to ensure that all required documentation is present in each file. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. - Please ensure all Health and Safety training topics completed cover all content required by each topic per Child Care Rule. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. • Please remember to place a copy of Ms. Wigand’s Playground Safety training on file. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded the following documentation should be on file for the Principal: o Criminal Background Check (can be kept at the County Office) o Emergency Information o On-Going Training Hours o Record of date Principal was trained on the facility’s Critical Incident Plan o Record of date Principal trained Pre-K staff on facility’s Critical Incident Plan • Please monitor the playground for trash and debris prior to children using the outdoor play area. • I recommend you have parents complete the Child’s Application for Enrollment form provided on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/childs_application_i.pdf?ver=vigZymZDo-BVdl6mjVN2WA%3d%3d - Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners - You can submit your Education to DCDEE Works at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d - You can create your DCDEE Works Account via the instructions at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final.pdf?ver=nQpexKVzyUgpnDi068sRpA%3d%3d • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times