10A NCAC 09 .0601 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: ABIGAIL ROWE Operation Type: Center Case Number: 0126-295A Visit Date: 2/5/2026 Number Present: 139 Completed Date: 2/5/2026 Age: From 0 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of childcare requirements at this child care facility. Nicole Stanley, Assistant Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Patti Fleig, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On January, 16, 2026, a staff member failed to provide a safe environment when the staff member failed to maintain control of a two-year-old child resulting in the child falling from their arms. 10A NCAC 09 .0601(a) You may contact me at Abigail Rowe, Investigations Consultant, 704-641-5218, Abigail.rowe@dhhs.nc.gov or Veronica Grant, South Central Investigations Team Supervisor, veronica.grant@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 1025-408L Visit Date: 11/17/2025 Number Present: 122 Completed Date: 11/17/2025 Age: From 0 To 5 Total Minutes: 79 Time In: 10:19 AM Time Out: 11:38 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by Ms. P. Fleig and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) Star License with restrictions to first (1st) shift care, meets enhanced space and enhanced ratios. There are allegations of violations of childcare requirements including supervision, staff/child ratios, incident reports and safety and well-being of children. Today’s visit was to follow up with the previous complaint visit on 11/7/25 regarding supervision. It was previously reported that a child was physically hit by a teacher in a classroom and there was an unknown substance that the same child put in their mouth while on the playground area. Please refer to the previous visit for specific details and a timeline of events. An interview with the Administrator during the visit was conducted and it was reported that none of the staff involved with the incident investigated during the previous visit had any new information or had changed their previous statements. Documents reviewed: •There are no new documents to be reviewed at this visit. Findings: Based on interviews, review of documents and observations the allegation of a child being hit by a staff member is unable to be confirmed. Because of conflicting interview statements, and overall changing statements of the events of the day of the occurrence, it can not be determined if the alleged event happened including rough-handling, lack of supervision and lack of incident reports. Therefore, this part of the allegation is unconfirmed. Based on interviews, observations, parent and staff report the allegation of a “a gel pill shaped substance” inside a child’s mouth but not ingested is confirmed. The event that occurred the week prior to October 22nd, of the child mouthing a medication is confirmed due to witness statements, phone calls and the facility admitting to the incident. The lack of the incident report for this event is also confirmed. Observations: There were one hundred and twenty-two (122) children in attendance today. The children in the rooms that serve older preschool aged children were involved in free choice activities and transitioning to outdoor learning. The children in the younger preschool classrooms were observed in outdoor learning activities and transitioning to outdoor learning. The children in the rooms that serve infants were observed in self-help care routines, and free choice play. There is one violation noted today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While playing in the outdoor learning environment a child was able to locate a "pill with a gel coating and liquid center" and put it in their mouth. 10A NCAC 09 .0601(a) On or before 11/30/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Incident report policy should be implemented and reviewed with all staff and parents explaining the intention behind the report, when reports are appropriate to create, and the timeline of creating the reports. •Consider implementing an observation report, to address conflicting reports of events in the classrooms. If a teacher feels strongly that they observed an incident in the classroom, a procedure with written documentation should be implemented to address this concern. This could also be shared with parents if an incident is suspected but not seen. As always reach out to your legal team for further guidance on this matter. •Ms. Fleig and I discussed classroom management and the teams in each classroom. It is apparent that there are some personality conflicts between staff that is encouraging unwanted behaviors, and incorrect information being spread to other staff and families. We discussed strategies and teacher room changes to address this serious issue. •Please encourage families to reach out to the Division and/or the Consultant if concerns arise. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 1025-408L Visit Date: 11/17/2025 Number Present: 122 Completed Date: 11/17/2025 Age: From 0 To 5 Total Minutes: 79 Time In: 10:19 AM Time Out: 11:38 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by Ms. P. Fleig and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) Star License with restrictions to first (1st) shift care, meets enhanced space and enhanced ratios. There are allegations of violations of childcare requirements including supervision, staff/child ratios, incident reports and safety and well-being of children. Today’s visit was to follow up with the previous complaint visit on 11/7/25 regarding supervision. It was previously reported that a child was physically hit by a teacher in a classroom and there was an unknown substance that the same child put in their mouth while on the playground area. Please refer to the previous visit for specific details and a timeline of events. An interview with the Administrator during the visit was conducted and it was reported that none of the staff involved with the incident investigated during the previous visit had any new information or had changed their previous statements. Documents reviewed: •There are no new documents to be reviewed at this visit. Findings: Based on interviews, review of documents and observations the allegation of a child being hit by a staff member is unable to be confirmed. Because of conflicting interview statements, and overall changing statements of the events of the day of the occurrence, it can not be determined if the alleged event happened including rough-handling, lack of supervision and lack of incident reports. Therefore, this part of the allegation is unconfirmed. Based on interviews, observations, parent and staff report the allegation of a “a gel pill shaped substance” inside a child’s mouth but not ingested is confirmed. The event that occurred the week prior to October 22nd, of the child mouthing a medication is confirmed due to witness statements, phone calls and the facility admitting to the incident. The lack of the incident report for this event is also confirmed. Observations: There were one hundred and twenty-two (122) children in attendance today. The children in the rooms that serve older preschool aged children were involved in free choice activities and transitioning to outdoor learning. The children in the younger preschool classrooms were observed in outdoor learning activities and transitioning to outdoor learning. The children in the rooms that serve infants were observed in self-help care routines, and free choice play. There is one violation noted today. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While playing in the outdoor learning environment a child was able to locate a "pill with a gel coating and liquid center" and put it in their mouth. 10A NCAC 09 .0601(a) On or before 11/30/2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical assistance •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Incident report policy should be implemented and reviewed with all staff and parents explaining the intention behind the report, when reports are appropriate to create, and the timeline of creating the reports. •Consider implementing an observation report, to address conflicting reports of events in the classrooms. If a teacher feels strongly that they observed an incident in the classroom, a procedure with written documentation should be implemented to address this concern. This could also be shared with parents if an incident is suspected but not seen. As always reach out to your legal team for further guidance on this matter. •Ms. Fleig and I discussed classroom management and the teams in each classroom. It is apparent that there are some personality conflicts between staff that is encouraging unwanted behaviors, and incorrect information being spread to other staff and families. We discussed strategies and teacher room changes to address this serious issue. •Please encourage families to reach out to the Division and/or the Consultant if concerns arise. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0925-288L Visit Date: 9/30/2025 Number Present: 129 Completed Date: 9/30/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was due to allegations of childcare requirements case # 0925-288L The facility operates with a Four (4) Star License with restrictions to first (1st) shift care, meets enhanced ratios and space. The compliance history was eighty-four (84%) percent after today’s visit. Upon arrival I was greeted by Ms. Fleig and stated the reason for my visit and began the walk through with your assistance. I shared the reason for the visit, and I shared the complaint allegation with you and gave you a chance to respond. Interviews: During my visit, I spoke to the teachers and administrative staff concerning teacher supervision, and face to name policies. Interview Findings: According to Administrator P. Fleig, At 4:22pm, She observed the older two (2s) teachers walking down the hallway to the outside door with the students. She watched the teacher complete a Name-to-Face by looking at her tablet, then searching for child to make eye contact, and repeating this for each child. They proceeded to go outside. At this time, a parent stopped Ms. Fleig in the hallway to ask a question, and both noticed movement in the older two’s (2s) classroom window. When she entered the room, the child was in the classroom alone. It was reported Ms. Fleig walked through the connecting bathroom to younger two’s (2s) and asked the teacher if she had a child from the older two’s (2s) classroom that was left with her. She responded that the child was not left with her. Ms. Fleig reported she asked the young two’s (2’s) teacher to keep the child in her care while she went to find the teachers. It was reported that Ms. Fleig was on her way to the playground when one of the older two’s (2s) teachers inside by the outside door looking for the child she was missing. All of this occurred between 4:22pm (when the second Name-to-Face occurred), 4:23pm when it was reported the child found in the classroom and 4:24pm. I interviewed one (1) teacher in the two (2) year old classroom as the other teacher was not on site, and it was reported that the teacher completed the name to face procedure over the four (4) thresholds, (inside and outside the classroom, inside and outside the out side door), and at three (3) of the four (4) checkpoints all children were accounted. At the last check, which was immediately after the (3rd) third check it was discovered that one (1) child at the end of the line walked back into the classroom. The second (2nd) teacher did not notice the child walking back into the classroom. This teacher was at the end of the line and closest to the classroom door. The name to face teacher and Ms. Fleig noticed before that time that a child was not in line and found the child in the room. According to Ms. Fleig, both teachers were interviewed by the Administration team and asked to write a written statement of event, which I reviewed. Ms. Fleig, reporting the events to her Regional Director, Director of Licensing and Child Care Consultant that day 9/19/25. A return call was made on Monday to Ms. Fleig reviewing the self-report protocol. I conducted a walk-through of the center. Supervision, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance. The children in the younger aged rooms were participating in outside learning time, the children in the rooms that served infants and toddlers were observed participating in free play. The children in the older preschool rooms were participating in center learning time. Findings: Based on interviews and observations the allegations of supervision volition is confirmed Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child in the room that serves two (2) year old's was left unsupervised for around one (1) minute .1801(a)(1-5) On or before 10/13/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical Assistance Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. •The on-line/on demand class titled “A+ Supervision” is highly recommended for seasoned staff as a refresher course and for all new staff as part of their orientation. This class offers recognizing common situations that pose risks to all children. This class can enhance and proactively work in conjunction with current face to name policy. •A supervision training course is also strongly recommended. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings. I shared that a follow-up visit may occur in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0925-288L Visit Date: 9/30/2025 Number Present: 129 Completed Date: 9/30/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was due to allegations of childcare requirements case # 0925-288L The facility operates with a Four (4) Star License with restrictions to first (1st) shift care, meets enhanced ratios and space. The compliance history was eighty-four (84%) percent after today’s visit. Upon arrival I was greeted by Ms. Fleig and stated the reason for my visit and began the walk through with your assistance. I shared the reason for the visit, and I shared the complaint allegation with you and gave you a chance to respond. Interviews: During my visit, I spoke to the teachers and administrative staff concerning teacher supervision, and face to name policies. Interview Findings: According to Administrator P. Fleig, At 4:22pm, She observed the older two (2s) teachers walking down the hallway to the outside door with the students. She watched the teacher complete a Name-to-Face by looking at her tablet, then searching for child to make eye contact, and repeating this for each child. They proceeded to go outside. At this time, a parent stopped Ms. Fleig in the hallway to ask a question, and both noticed movement in the older two’s (2s) classroom window. When she entered the room, the child was in the classroom alone. It was reported Ms. Fleig walked through the connecting bathroom to younger two’s (2s) and asked the teacher if she had a child from the older two’s (2s) classroom that was left with her. She responded that the child was not left with her. Ms. Fleig reported she asked the young two’s (2’s) teacher to keep the child in her care while she went to find the teachers. It was reported that Ms. Fleig was on her way to the playground when one of the older two’s (2s) teachers inside by the outside door looking for the child she was missing. All of this occurred between 4:22pm (when the second Name-to-Face occurred), 4:23pm when it was reported the child found in the classroom and 4:24pm. I interviewed one (1) teacher in the two (2) year old classroom as the other teacher was not on site, and it was reported that the teacher completed the name to face procedure over the four (4) thresholds, (inside and outside the classroom, inside and outside the out side door), and at three (3) of the four (4) checkpoints all children were accounted. At the last check, which was immediately after the (3rd) third check it was discovered that one (1) child at the end of the line walked back into the classroom. The second (2nd) teacher did not notice the child walking back into the classroom. This teacher was at the end of the line and closest to the classroom door. The name to face teacher and Ms. Fleig noticed before that time that a child was not in line and found the child in the room. According to Ms. Fleig, both teachers were interviewed by the Administration team and asked to write a written statement of event, which I reviewed. Ms. Fleig, reporting the events to her Regional Director, Director of Licensing and Child Care Consultant that day 9/19/25. A return call was made on Monday to Ms. Fleig reviewing the self-report protocol. I conducted a walk-through of the center. Supervision, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance. The children in the younger aged rooms were participating in outside learning time, the children in the rooms that served infants and toddlers were observed participating in free play. The children in the older preschool rooms were participating in center learning time. Findings: Based on interviews and observations the allegations of supervision volition is confirmed Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child in the room that serves two (2) year old's was left unsupervised for around one (1) minute .1801(a)(1-5) On or before 10/13/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical Assistance Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. •The on-line/on demand class titled “A+ Supervision” is highly recommended for seasoned staff as a refresher course and for all new staff as part of their orientation. This class offers recognizing common situations that pose risks to all children. This class can enhance and proactively work in conjunction with current face to name policy. •A supervision training course is also strongly recommended. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings. I shared that a follow-up visit may occur in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0825-132L Visit Date: 8/15/2025 Number Present: 133 Completed Date: 8/15/2025 Age: From 0 To 9 Total Minutes: 138 Time In: 09:00 AM Time Out: 11:18 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was due to allegations of childcare requirements case # 0825-132L. The facility operates with a Four (4) Star License with restrictions to first (1st) shift care, meets enhanced ratios and space. The compliance history was eighty-four (84%) percent after today’s visit. Upon arrival I was greeted by Ms. P. Fleig explained the reason for my visit and began the walk through with your assistance. I shared the reason for the visit, and I shared the complaint allegation with you and gave you a chance to respond. Ms. Fleig reported that she was going to communicate with me today about some concerns she was having with teachers in one of her classrooms. She sated that the start of the 2025-2026 school year was 8/25/25 and she has had discussions about moving teachers to different rooms as a corrective action for her concerns. Ms. Stanley and Ms. Fleig stated that they have recently begun to discover inconsistencies with some staff’s statements about other staff concerning working together. Both Administrators shared they have met with teachers to discuss classroom inconsistencies, teacher interactions, and supervision occurrences. I shared with Ms. Fleig and Ms. Stanley, that there is photographic proof showing a teacher with her back turned, changing a diaper while wearing headphones, and was the only visible teacher in the room with two (2) other children in her care. It was also documented all the shelving structures in the room pushed together, so that no toys were available for use. On top of the shelves a child was also observed standing and looking out the classroom window. The shelf height was knee-high on an average adult. Interviews: During my visit, I spoke to the teachers concerning teacher behaviors in the classrooms, supervision, availability of supplies and materials for the age of the child and nurture and care. Several teachers reported that that structures, such as shelving units, were pushed together and closed for more than seventy-five (75%) of the day. This did not allow children with options for developmentally appropriate play. Also, when cabinets were pushed together children climbed on top of the structures and it went unnoticed by the teacher(s) in the room. Cell phone use during active supervision times was also reported. Some of the teachers were reported to wear ear buds or hide their phones with the facility issued I pad. It was also reported that several prepped teacher led activities were missing from the room not allowing classrooms to follow activity plans. When asked about supervision, the teachers reported that there was a high number of children who were biting, and they felt this was because some teachers were not able to see and/or hear children at all times. This was documented with photographic evidence. Another common occurrence was incident reports not being filled out correctly or at all. Interview Findings: During each interview, I shared the importance of supervision, the requirements and how to prevent this from re-occurring. Those suggestions included being able to always hear or/and see children, not allowing headphones to be worn in the classrooms while staff were actively working and supervising children in their care. We discussed adding an additional teacher to the younger toddler aged classrooms to ensure proper supervision. We discussed a biting workshop and plan for younger aged children to assist the teachers with children biting in the classroom. In past visits I have observed in the room that serves toddler aged children, insufficient access to accessible materials, toys, and supplies. This was documented in a picture taken and provided to the Consultant showing furniture in the classroom pushed together, not allowing center areas for play which is required for an enhanced licensed facility. On two (2) previous visits, it has been shared through technical assistance and recommendations about the toddler room(s) arrangement. The children were not allowed to play in each center during the day, and shelving units were pushed together to “close” off the area. While we discussed children toddler aged, have a tendency to climb and explore, this is an appropriate developmental goal. We have discussed ways to allow appropriate and safe inside gross motor exploration. As shown, when pushing furniture together under the idea of better supervision, it creates less activities and a natural want to explore (climb) which is a safety hazard. I conducted a walk-through of the center. Supervision, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance. The children in the younger aged rooms were participating in water play activities. The older and school age children were finishing AM snack and transitioning to free play center times. Findings: Based on interviews and observations the allegations of violations of child care requirements of supervision and lack of developmentally appropriate play materials, supplies and structures are confirmed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children in classroom space 2a were not supervised during diaper changing times and other times during the day and was documented. A teacher was not able to see and/or hear to appropriately supervise all children at all times. .1801(a)(1-5) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Children in space 2a were not provided with access to any materials, supplies or structures to facility play and development in the afternoons after rest time and during early morning drop off times. .0510 (e ) (1)(A-G) On or before 8/28/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical Assistance Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. •Please visit the CCRI training catalog and Moodle for training on supervision and transitions and have staff re-trained on what the requirements are for adequate supervision and meaningful and purposeful transitions. In addition, please look into equipping staff with information/training that highlights the importance of playground supervision. They also offer a class specifically for Infant and Toddler’s safe indoor environment and arranging the room. •A biting workshop class is offered by the Union County Community Health Nurses, and would be beneficial for all teachers, particularly teachers who work with toddler to three (3) year old aged children. I would also recommend a no cell phone policy in the classroom. •The facility has had technical assistance on incident report writing in the past year. Please review that with the staff for accurate reports. All injuries should be reported to the parent/guardian in a written format. •When providing parents/guardians with incident reports pertaining to (in this case) biting, content is important. Families, teacher and administration teams should all be working together to consistently address the “why” of biting. There are a variety of reasons children bite and active supervision is key in prevention. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings. I shared that a follow-up visit may occur in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0825-132L Visit Date: 8/15/2025 Number Present: 133 Completed Date: 8/15/2025 Age: From 0 To 9 Total Minutes: 138 Time In: 09:00 AM Time Out: 11:18 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was due to allegations of childcare requirements case # 0825-132L. The facility operates with a Four (4) Star License with restrictions to first (1st) shift care, meets enhanced ratios and space. The compliance history was eighty-four (84%) percent after today’s visit. Upon arrival I was greeted by Ms. P. Fleig explained the reason for my visit and began the walk through with your assistance. I shared the reason for the visit, and I shared the complaint allegation with you and gave you a chance to respond. Ms. Fleig reported that she was going to communicate with me today about some concerns she was having with teachers in one of her classrooms. She sated that the start of the 2025-2026 school year was 8/25/25 and she has had discussions about moving teachers to different rooms as a corrective action for her concerns. Ms. Stanley and Ms. Fleig stated that they have recently begun to discover inconsistencies with some staff’s statements about other staff concerning working together. Both Administrators shared they have met with teachers to discuss classroom inconsistencies, teacher interactions, and supervision occurrences. I shared with Ms. Fleig and Ms. Stanley, that there is photographic proof showing a teacher with her back turned, changing a diaper while wearing headphones, and was the only visible teacher in the room with two (2) other children in her care. It was also documented all the shelving structures in the room pushed together, so that no toys were available for use. On top of the shelves a child was also observed standing and looking out the classroom window. The shelf height was knee-high on an average adult. Interviews: During my visit, I spoke to the teachers concerning teacher behaviors in the classrooms, supervision, availability of supplies and materials for the age of the child and nurture and care. Several teachers reported that that structures, such as shelving units, were pushed together and closed for more than seventy-five (75%) of the day. This did not allow children with options for developmentally appropriate play. Also, when cabinets were pushed together children climbed on top of the structures and it went unnoticed by the teacher(s) in the room. Cell phone use during active supervision times was also reported. Some of the teachers were reported to wear ear buds or hide their phones with the facility issued I pad. It was also reported that several prepped teacher led activities were missing from the room not allowing classrooms to follow activity plans. When asked about supervision, the teachers reported that there was a high number of children who were biting, and they felt this was because some teachers were not able to see and/or hear children at all times. This was documented with photographic evidence. Another common occurrence was incident reports not being filled out correctly or at all. Interview Findings: During each interview, I shared the importance of supervision, the requirements and how to prevent this from re-occurring. Those suggestions included being able to always hear or/and see children, not allowing headphones to be worn in the classrooms while staff were actively working and supervising children in their care. We discussed adding an additional teacher to the younger toddler aged classrooms to ensure proper supervision. We discussed a biting workshop and plan for younger aged children to assist the teachers with children biting in the classroom. In past visits I have observed in the room that serves toddler aged children, insufficient access to accessible materials, toys, and supplies. This was documented in a picture taken and provided to the Consultant showing furniture in the classroom pushed together, not allowing center areas for play which is required for an enhanced licensed facility. On two (2) previous visits, it has been shared through technical assistance and recommendations about the toddler room(s) arrangement. The children were not allowed to play in each center during the day, and shelving units were pushed together to “close” off the area. While we discussed children toddler aged, have a tendency to climb and explore, this is an appropriate developmental goal. We have discussed ways to allow appropriate and safe inside gross motor exploration. As shown, when pushing furniture together under the idea of better supervision, it creates less activities and a natural want to explore (climb) which is a safety hazard. I conducted a walk-through of the center. Supervision, staff/child ratios, adequate/approved space and permit restrictions were observed in compliance. The children in the younger aged rooms were participating in water play activities. The older and school age children were finishing AM snack and transitioning to free play center times. Findings: Based on interviews and observations the allegations of violations of child care requirements of supervision and lack of developmentally appropriate play materials, supplies and structures are confirmed. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Children in classroom space 2a were not supervised during diaper changing times and other times during the day and was documented. A teacher was not able to see and/or hear to appropriately supervise all children at all times. .1801(a)(1-5) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Children in space 2a were not provided with access to any materials, supplies or structures to facility play and development in the afternoons after rest time and during early morning drop off times. .0510 (e ) (1)(A-G) On or before 8/28/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. I provided information regarding whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. Technical Assistance Please ensure to review the requirements around supervision to all staff at orientation and frequently in staff meetings and/or on individual basis at annual evaluations to ensure that adequate supervision of children is always taking place. As a reminder, the rules around supervision are: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. •Please visit the CCRI training catalog and Moodle for training on supervision and transitions and have staff re-trained on what the requirements are for adequate supervision and meaningful and purposeful transitions. In addition, please look into equipping staff with information/training that highlights the importance of playground supervision. They also offer a class specifically for Infant and Toddler’s safe indoor environment and arranging the room. •A biting workshop class is offered by the Union County Community Health Nurses, and would be beneficial for all teachers, particularly teachers who work with toddler to three (3) year old aged children. I would also recommend a no cell phone policy in the classroom. •The facility has had technical assistance on incident report writing in the past year. Please review that with the staff for accurate reports. All injuries should be reported to the parent/guardian in a written format. •When providing parents/guardians with incident reports pertaining to (in this case) biting, content is important. Families, teacher and administration teams should all be working together to consistently address the “why” of biting. There are a variety of reasons children bite and active supervision is key in prevention. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings. I shared that a follow-up visit may occur in the near future. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-036L Visit Date: 6/17/2025 Number Present: 45 Completed Date: 6/17/2025 Age: From 0 To 9 Total Minutes: 80 Time In: 07:00 AM Time Out: 08:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today's unannounced visit is to follow up on a compliant visit conducted on 6/11/2025. Upon arrival, I shared the reason for my visit, and began the walk through. I observed all licensed classrooms, all were combined with and there were seven (7) teachers working and forty-five (45) children from ages zero (0) to nine (9). From 7:45 to 8:00 am, I observed one (1) more teacher arrive and around eighteen (18) to twenty (20) more children of varying ages arrive . Since my last visit it was reported some of the staff members’ hours have been adjusted based on the number and age of children arriving from 7:00 am to 8:30 am. They also reported that more AM staff have been added. Children were observed arriving for the day and transitioning into different classrooms. Hand washing upon arrival was not observed. Based on this follow up visit today the alleged violation is not confirmed. Please look into equipping staff with information/training that highlights the importance of playground supervision and meaningful transitions. The CCRI training catalog and Moodle training catalog have some options. We discussed finding a method that works for you and your team to provide additional support to count and verify behind teachers to ensure that children are not left behind/unattended. One (1) violation was observed today. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival children were not asked to and did not wash their hands. 15A NCAC 18A .2803(c) On or before 6/30/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings. Technical Assistance •We discussed a teacher break schedule occurring every thirty (30) minutes or sixty (60) minutes throughout the day. We also discussed reminding teachers to utilize each other for breaks to maintain ratio, and if the break needed is urgent to share that information. •Staff and child ratios are to maintained at all times, if the facility doesn’t have the capability to accept children upon arrival and maintain ratio they may not be left. Continue to work on the AM drop off time ratios making sure they are always maintained. •All teachers and children are to wash hands upon arrival. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-036L Visit Date: 6/11/2025 Number Present: 145 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by P. Fleig and N. Stanley and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. There are allegations of violations of childcare requirements including staff/child ratios, access to children’s emergency medication, teacher breaks during the day and nutrition. The Administrators stated that they remain in staff and child ratio at all times, utilizing floaters and administration staff for coverage. They also stated they are actively hiring new staff as floaters and they do move children around based on age to younger or older classrooms to maintain ratio. When asked about emergency medication’s location, it was stated that all emergency medications are kept in the child’s room, accessible to the teachers but when a medication is used as needed it is kept locked in the office. I asked if a child’s PRN medication is needed on a daily basis or if it is requested to be used for the day, the protocol. They stated that the parent/guardian would send a message per their on-line messaging and alarms are set by the Administrators to give the medication. They also stated that it was a corporate policy that only Administrators were allowed to administer medication in a non-emergency situation. During my visit, the Union County Health Consultant was there following up on a previous visit, and a current health care issue in the infant room. We discussed with the staff that all medication that “could be used” in an emergency or is given as PRN and fits under the guidelines as emergency medication therefore the medication must be stored safely in the classrooms at all times. Concerning teacher and staff breaks, the Administration feels they respond timely to personal breaks requested by teachers. The time to arrive for a break varies depending on who is available or what the ratio at that moment. The facility does not participate in the Child and Family Food Program and thirty (30) days of menus were provided for review. I observed the teachers serving lunch to different aged children and all portions are in compliance. Interview Findings: I interviewed all staff in each classroom and the staff did mention on multiple occasions that the timeline to be relieved for breaks was longer than necessary. They also discussed the capacity in their rooms and ratio confusion. It was mentioned numerous times that they felt over ratio because the postings in the room stated the capacity was a certain number and the amount of children in the room was over that number. I will be reviewing the space capacity in the classrooms, including the staff to child ratio and maximum capacity to maintain voluntary enhanced ratios inside and outside. While a document was provided for my review from a previous consultant, the space calculation worksheet with be reviewed further. Findings: Based on interviews and observations the allegation(s) of nutrition, and teacher breaks is not confirmed. Based on interviews and observations the allegation of emergency medication accessible is not confirmed and at this time there is no evidence that staff and child ratios are out of compliance. Further information needs to be obtained. Observations: There were one hundred and forty-five (145) children in attendance today. The children were observed in the room that serves infant and toddler ages participating in free play and preparation for outdoor learning. The children in rooms that serve preschool aged children were participating in free choice activities and transitioning to outdoor learning. The children in the rooms that serve school age children were participating in art activities and free choice. We discussed that staff to child ratios must always be maintained and that there is no flexibility with this requirement. Please note that if you are open and provide care, that all child care requirements must be met including ratios being maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, according to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. One (1) violation was observed and corrected during today’s visit. The violations are as follows: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medical permission form was expired. .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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Comments: •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Nutrition requirements were discussed with the Administration and kitchen staff and nutrition standard worksheets were provided. We reviewed the CACFP Lunch Meal and Snack Meal Pattern minimum quantities as a reference. All five (5) components must be served for the Lunch Meal with two (2) of the five (5) components must be served for the Snack Meal. •When changes are made to the daily menu, the menu must be updated to reflect the changes before the meal or snack is served. Menus are kept on file for thirty (30) days. •Emergency Medication must be easily accessible for staff in classrooms with children who require its use promptly. Emergency medications are just that, for an emergency and must be accessible. Designated Emergency Medication" means a medication needed to immediately treat a life-threatening medical event that is administered in accordance with 10A NCAC 09 .0803(10) and G.S. 110-102.1A. There are community resources and training available for teachers to better understand emergency medication and the uses. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. A follow up visit may be conducted in the future. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-036L Visit Date: 6/11/2025 Number Present: 145 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by P. Fleig and N. Stanley and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. There are allegations of violations of childcare requirements including staff/child ratios, access to children’s emergency medication, teacher breaks during the day and nutrition. The Administrators stated that they remain in staff and child ratio at all times, utilizing floaters and administration staff for coverage. They also stated they are actively hiring new staff as floaters and they do move children around based on age to younger or older classrooms to maintain ratio. When asked about emergency medication’s location, it was stated that all emergency medications are kept in the child’s room, accessible to the teachers but when a medication is used as needed it is kept locked in the office. I asked if a child’s PRN medication is needed on a daily basis or if it is requested to be used for the day, the protocol. They stated that the parent/guardian would send a message per their on-line messaging and alarms are set by the Administrators to give the medication. They also stated that it was a corporate policy that only Administrators were allowed to administer medication in a non-emergency situation. During my visit, the Union County Health Consultant was there following up on a previous visit, and a current health care issue in the infant room. We discussed with the staff that all medication that “could be used” in an emergency or is given as PRN and fits under the guidelines as emergency medication therefore the medication must be stored safely in the classrooms at all times. Concerning teacher and staff breaks, the Administration feels they respond timely to personal breaks requested by teachers. The time to arrive for a break varies depending on who is available or what the ratio at that moment. The facility does not participate in the Child and Family Food Program and thirty (30) days of menus were provided for review. I observed the teachers serving lunch to different aged children and all portions are in compliance. Interview Findings: I interviewed all staff in each classroom and the staff did mention on multiple occasions that the timeline to be relieved for breaks was longer than necessary. They also discussed the capacity in their rooms and ratio confusion. It was mentioned numerous times that they felt over ratio because the postings in the room stated the capacity was a certain number and the amount of children in the room was over that number. I will be reviewing the space capacity in the classrooms, including the staff to child ratio and maximum capacity to maintain voluntary enhanced ratios inside and outside. While a document was provided for my review from a previous consultant, the space calculation worksheet with be reviewed further. Findings: Based on interviews and observations the allegation(s) of nutrition, and teacher breaks is not confirmed. Based on interviews and observations the allegation of emergency medication accessible is not confirmed and at this time there is no evidence that staff and child ratios are out of compliance. Further information needs to be obtained. Observations: There were one hundred and forty-five (145) children in attendance today. The children were observed in the room that serves infant and toddler ages participating in free play and preparation for outdoor learning. The children in rooms that serve preschool aged children were participating in free choice activities and transitioning to outdoor learning. The children in the rooms that serve school age children were participating in art activities and free choice. We discussed that staff to child ratios must always be maintained and that there is no flexibility with this requirement. Please note that if you are open and provide care, that all child care requirements must be met including ratios being maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, according to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. One (1) violation was observed and corrected during today’s visit. The violations are as follows: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medical permission form was expired. .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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Comments: •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Nutrition requirements were discussed with the Administration and kitchen staff and nutrition standard worksheets were provided. We reviewed the CACFP Lunch Meal and Snack Meal Pattern minimum quantities as a reference. All five (5) components must be served for the Lunch Meal with two (2) of the five (5) components must be served for the Snack Meal. •When changes are made to the daily menu, the menu must be updated to reflect the changes before the meal or snack is served. Menus are kept on file for thirty (30) days. •Emergency Medication must be easily accessible for staff in classrooms with children who require its use promptly. Emergency medications are just that, for an emergency and must be accessible. Designated Emergency Medication" means a medication needed to immediately treat a life-threatening medical event that is administered in accordance with 10A NCAC 09 .0803(10) and G.S. 110-102.1A. There are community resources and training available for teachers to better understand emergency medication and the uses. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. A follow up visit may be conducted in the future. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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. 110-102 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-036L Visit Date: 6/11/2025 Number Present: 145 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by P. Fleig and N. Stanley and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. There are allegations of violations of childcare requirements including staff/child ratios, access to children’s emergency medication, teacher breaks during the day and nutrition. The Administrators stated that they remain in staff and child ratio at all times, utilizing floaters and administration staff for coverage. They also stated they are actively hiring new staff as floaters and they do move children around based on age to younger or older classrooms to maintain ratio. When asked about emergency medication’s location, it was stated that all emergency medications are kept in the child’s room, accessible to the teachers but when a medication is used as needed it is kept locked in the office. I asked if a child’s PRN medication is needed on a daily basis or if it is requested to be used for the day, the protocol. They stated that the parent/guardian would send a message per their on-line messaging and alarms are set by the Administrators to give the medication. They also stated that it was a corporate policy that only Administrators were allowed to administer medication in a non-emergency situation. During my visit, the Union County Health Consultant was there following up on a previous visit, and a current health care issue in the infant room. We discussed with the staff that all medication that “could be used” in an emergency or is given as PRN and fits under the guidelines as emergency medication therefore the medication must be stored safely in the classrooms at all times. Concerning teacher and staff breaks, the Administration feels they respond timely to personal breaks requested by teachers. The time to arrive for a break varies depending on who is available or what the ratio at that moment. The facility does not participate in the Child and Family Food Program and thirty (30) days of menus were provided for review. I observed the teachers serving lunch to different aged children and all portions are in compliance. Interview Findings: I interviewed all staff in each classroom and the staff did mention on multiple occasions that the timeline to be relieved for breaks was longer than necessary. They also discussed the capacity in their rooms and ratio confusion. It was mentioned numerous times that they felt over ratio because the postings in the room stated the capacity was a certain number and the amount of children in the room was over that number. I will be reviewing the space capacity in the classrooms, including the staff to child ratio and maximum capacity to maintain voluntary enhanced ratios inside and outside. While a document was provided for my review from a previous consultant, the space calculation worksheet with be reviewed further. Findings: Based on interviews and observations the allegation(s) of nutrition, and teacher breaks is not confirmed. Based on interviews and observations the allegation of emergency medication accessible is not confirmed and at this time there is no evidence that staff and child ratios are out of compliance. Further information needs to be obtained. Observations: There were one hundred and forty-five (145) children in attendance today. The children were observed in the room that serves infant and toddler ages participating in free play and preparation for outdoor learning. The children in rooms that serve preschool aged children were participating in free choice activities and transitioning to outdoor learning. The children in the rooms that serve school age children were participating in art activities and free choice. We discussed that staff to child ratios must always be maintained and that there is no flexibility with this requirement. Please note that if you are open and provide care, that all child care requirements must be met including ratios being maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, according to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. One (1) violation was observed and corrected during today’s visit. The violations are as follows: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medical permission form was expired. .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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Comments: •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Nutrition requirements were discussed with the Administration and kitchen staff and nutrition standard worksheets were provided. We reviewed the CACFP Lunch Meal and Snack Meal Pattern minimum quantities as a reference. All five (5) components must be served for the Lunch Meal with two (2) of the five (5) components must be served for the Snack Meal. •When changes are made to the daily menu, the menu must be updated to reflect the changes before the meal or snack is served. Menus are kept on file for thirty (30) days. •Emergency Medication must be easily accessible for staff in classrooms with children who require its use promptly. Emergency medications are just that, for an emergency and must be accessible. Designated Emergency Medication" means a medication needed to immediately treat a life-threatening medical event that is administered in accordance with 10A NCAC 09 .0803(10) and G.S. 110-102.1A. There are community resources and training available for teachers to better understand emergency medication and the uses. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. A follow up visit may be conducted in the future. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 0625-036L Visit Date: 6/11/2025 Number Present: 145 Completed Date: 6/11/2025 Age: From 0 To 11 Total Minutes: 225 Time In: 10:00 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. I was met by P. Fleig and N. Stanley and shared the reason for my visit, she assisted me through the walk through. The facility holds a four (4) star center license with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. There are allegations of violations of childcare requirements including staff/child ratios, access to children’s emergency medication, teacher breaks during the day and nutrition. The Administrators stated that they remain in staff and child ratio at all times, utilizing floaters and administration staff for coverage. They also stated they are actively hiring new staff as floaters and they do move children around based on age to younger or older classrooms to maintain ratio. When asked about emergency medication’s location, it was stated that all emergency medications are kept in the child’s room, accessible to the teachers but when a medication is used as needed it is kept locked in the office. I asked if a child’s PRN medication is needed on a daily basis or if it is requested to be used for the day, the protocol. They stated that the parent/guardian would send a message per their on-line messaging and alarms are set by the Administrators to give the medication. They also stated that it was a corporate policy that only Administrators were allowed to administer medication in a non-emergency situation. During my visit, the Union County Health Consultant was there following up on a previous visit, and a current health care issue in the infant room. We discussed with the staff that all medication that “could be used” in an emergency or is given as PRN and fits under the guidelines as emergency medication therefore the medication must be stored safely in the classrooms at all times. Concerning teacher and staff breaks, the Administration feels they respond timely to personal breaks requested by teachers. The time to arrive for a break varies depending on who is available or what the ratio at that moment. The facility does not participate in the Child and Family Food Program and thirty (30) days of menus were provided for review. I observed the teachers serving lunch to different aged children and all portions are in compliance. Interview Findings: I interviewed all staff in each classroom and the staff did mention on multiple occasions that the timeline to be relieved for breaks was longer than necessary. They also discussed the capacity in their rooms and ratio confusion. It was mentioned numerous times that they felt over ratio because the postings in the room stated the capacity was a certain number and the amount of children in the room was over that number. I will be reviewing the space capacity in the classrooms, including the staff to child ratio and maximum capacity to maintain voluntary enhanced ratios inside and outside. While a document was provided for my review from a previous consultant, the space calculation worksheet with be reviewed further. Findings: Based on interviews and observations the allegation(s) of nutrition, and teacher breaks is not confirmed. Based on interviews and observations the allegation of emergency medication accessible is not confirmed and at this time there is no evidence that staff and child ratios are out of compliance. Further information needs to be obtained. Observations: There were one hundred and forty-five (145) children in attendance today. The children were observed in the room that serves infant and toddler ages participating in free play and preparation for outdoor learning. The children in rooms that serve preschool aged children were participating in free choice activities and transitioning to outdoor learning. The children in the rooms that serve school age children were participating in art activities and free choice. We discussed that staff to child ratios must always be maintained and that there is no flexibility with this requirement. Please note that if you are open and provide care, that all child care requirements must be met including ratios being maintained. There must be enough staff present to meet the needs of the children and maintain staff/child ratios during operating hours. As a reminder, you must follow minimum ratio requirements which are: • 0 to 12 months = Ratios are 1:5 with a Max Group Size of 10 children • 12 to 24 months = Ratios are 1:6 with a Max Group Size of 12 children • 2 to 3 years = Ratios are 1:10 with a Max Group Size of 20 children • 3 to 4 years = Ratios are 1:15 with a Max Group Size of 25 children • 4 to 5 years = Ratios are 1:20 with a Max Group Size of 25 children • 5 years and older = Ratios are 1:25 with a Max Group Size of 25 children In addition, according to 10A NCAC 09 .0713 STAFF/CHILD RATIOS FOR CENTERS when combining age groups, the staff/child ratio for the youngest child in the group shall be maintained for the entire group; (2) children of all ages may be cared for together in groups for the first and last operating hour of the day, provided the staff/child ratio for the youngest child in the group is maintained; (3) a child two years of age and older may be placed with children under one year of age when a physician certifies that the developmental age of the child makes this placement appropriate; (4) when determined to be developmentally appropriate by the operator and parent, a child age two or older may be placed one age level above his or her chronological age without affecting the staff/child ratio for that group. This provision shall be limited to one child per group; (5) except as provided in Subparagraphs (2) and (3) of this Paragraph, children under one year of age shall be kept separate from children two years of age and over; (6) except as provided in Subparagraph (2) of this Paragraph, children between the ages of 12 months and 24 months shall not be grouped with older children unless all children in the group are less than three years of age. One (1) violation was observed and corrected during today’s visit. The violations are as follows: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medical permission form was expired. .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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Comments: •I encouraged you, to enroll any new staff who have been employed at your facility for less than a year and any staff who you may have concerns with supervision, sanitation guidelines, and/or diaper changes to participate and compete the training series provided by CCRI: “New Employee Orientation”. The training series consists of three (3) courses called: - A+ Supervision - Keep it Clean - Positive Guidance •Nutrition requirements were discussed with the Administration and kitchen staff and nutrition standard worksheets were provided. We reviewed the CACFP Lunch Meal and Snack Meal Pattern minimum quantities as a reference. All five (5) components must be served for the Lunch Meal with two (2) of the five (5) components must be served for the Snack Meal. •When changes are made to the daily menu, the menu must be updated to reflect the changes before the meal or snack is served. Menus are kept on file for thirty (30) days. •Emergency Medication must be easily accessible for staff in classrooms with children who require its use promptly. Emergency medications are just that, for an emergency and must be accessible. Designated Emergency Medication" means a medication needed to immediately treat a life-threatening medical event that is administered in accordance with 10A NCAC 09 .0803(10) and G.S. 110-102.1A. There are community resources and training available for teachers to better understand emergency medication and the uses. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. A follow up visit may be conducted in the future. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 124 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. P. Fleig and I shared the reason for the visit. Ms. N. Stanley accompanied me throughout the walk-through of the facility and the outdoor learning environments. Due to a tornado warning effecting the Child Care Facility, I was not able to begin the visit until 9:30 am after the warning was lifted and the children returned to their classrooms from their tornado shelter areas. Your program currently operates with four (4) star center license. The license was posted, with restrictions to first (1st) shift care, and meets enhanced ratios and enhanced space. Ownership: The facility owner is S.E.G, Inc with SoSID #0350240 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside learning spaces and three (3) outside play areas. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 2/28/25 •Emergency drill was conducted on 11/1/24 and a tornado warning shelter in place was conducted from 9:00 am to 9:30 am before today’s visit. •Fire inspection was completed on 7/11/24 •Playground inspection was completed on 2/27/25 •Sanitation inspection was conducted on 1/3/25 and received an Approved classification. •EPR manual was updated and completed. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the rooms that serves infants were transitioning back to their rooms and getting their self-help care needs met. The children in the toddler aged classrooms were participating in diaper changing and a late snack. The children in the room that serves younger preschool aged children were participating in teacher led circle time and transitioning to center time. The children in the rooms that serve older preschool aged children were participating in self-choice center time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. The two play areas that serve older aged children show areas where water in pooling, this area if not maintained properly could lead to more standing water which might attract vermin or dangerous insects. Staff Records: The staff-training worksheet was completed prior to the visit. There were six (6) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. When completing the first two (2) week and first six (6) weeks orientation and trainings , please put the date of completion and initials beside the trainings completed. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and twenty four (124) in attendance today. Nineteen (19) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy listings were posted and form lunch the children were having beef ravioli, tropical fruit peas, milk and veggie nuggets for the vegetarian option. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration and insurance was u to date and current. The mini bus was in good working order. Six (6) violations were observed today. The violations are as follows: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff Members AM and VP did not have a health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member's C.C, L.R, Y.M, and T.S. files did not show documentation of the required orientation hours in the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member's C.C, L.R, Y.M and T.S files did not show documentation of six (6) hours of training in the required topic areas. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M.P. did not have a valid qualification on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission slip in space two b (2b) had expired giving the caregiver standing permission to administer a diaper cream .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members Y.M, C.C, and L.R. did not have proof of completing the Recognizing and Responding training within their initial ninety (90) days of hire. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/18/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •On children’s enrollment forms, please add a section for the original enrollment date. •In the room that serves toddlers, it might be beneficial for extra training for the teachers to assist with some concerns, such as climbing on unsafe surfaces and interactions when there is just one teacher in the classrooms. Child Care resources Inc. has a training calendar with different trainings to meet these needs. •On-going training thought out the year should be better documented showing how many hours new employees received as well as existing employees. •Emergency Medication, such as epi pens should be easily accessible not only in location but in the containers that keep the medication. Make sure the bags in the rooms holding the epi-pens are easy to open. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 124 Completed Date: 3/5/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Ms. P. Fleig and I shared the reason for the visit. Ms. N. Stanley accompanied me throughout the walk-through of the facility and the outdoor learning environments. Due to a tornado warning effecting the Child Care Facility, I was not able to begin the visit until 9:30 am after the warning was lifted and the children returned to their classrooms from their tornado shelter areas. Your program currently operates with four (4) star center license. The license was posted, with restrictions to first (1st) shift care, and meets enhanced ratios and enhanced space. Ownership: The facility owner is S.E.G, Inc with SoSID #0350240 and is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. I used the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, and program records. All classrooms, kitchen, inside learning spaces and three (3) outside play areas. Program Records: We reviewed all the required records and were in compliance. Inspections: All inspections were monitored, and inspection dates are listed below. •Fire drill was conducted on 2/28/25 •Emergency drill was conducted on 11/1/24 and a tornado warning shelter in place was conducted from 9:00 am to 9:30 am before today’s visit. •Fire inspection was completed on 7/11/24 •Playground inspection was completed on 2/27/25 •Sanitation inspection was conducted on 1/3/25 and received an Approved classification. •EPR manual was updated and completed. •Incident logs and sheets were completed and up to date. Indoor Learning Environment: I observed children in the indoor learning environment and the following items were posted in the classrooms that were monitored: Daily schedules, activity plans, staff/child ratio worksheets, emergency numbers, emergency procedures, arrival/departure procedures, summary of law and menus. Children in the rooms that serves infants were transitioning back to their rooms and getting their self-help care needs met. The children in the toddler aged classrooms were participating in diaper changing and a late snack. The children in the room that serves younger preschool aged children were participating in teacher led circle time and transitioning to center time. The children in the rooms that serve older preschool aged children were participating in self-choice center time. Outdoor Learning Environment: The outdoor learning environments were monitored and in compliance. The two play areas that serve older aged children show areas where water in pooling, this area if not maintained properly could lead to more standing water which might attract vermin or dangerous insects. Staff Records: The staff-training worksheet was completed prior to the visit. There were six (6) new staff files to review today, and three (3) existing staff file. Please refer to the staff/training worksheet to review which files were monitored. When completing the first two (2) week and first six (6) weeks orientation and trainings , please put the date of completion and initials beside the trainings completed. Children’s Records: There are one hundred and seventy (170) children enrolled in this center. There were one hundred and twenty four (124) in attendance today. Nineteen (19) children’s files were reviewed today, please refer to the children’s worksheet to review which files was monitored. Medication: All emergency and other medications were reviewed today and were in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. The menu and allergy listings were posted and form lunch the children were having beef ravioli, tropical fruit peas, milk and veggie nuggets for the vegetarian option. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. Transportation: The facility reported the do provide transportation. The registration and insurance was u to date and current. The mini bus was in good working order. Six (6) violations were observed today. The violations are as follows: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff Members AM and VP did not have a health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member's C.C, L.R, Y.M, and T.S. files did not show documentation of the required orientation hours in the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member's C.C, L.R, Y.M and T.S files did not show documentation of six (6) hours of training in the required topic areas. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Staff member M.P. did not have a valid qualification on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission slip in space two b (2b) had expired giving the caregiver standing permission to administer a diaper cream .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff members Y.M, C.C, and L.R. did not have proof of completing the Recognizing and Responding training within their initial ninety (90) days of hire. .1102(g) The violations not corrected during the visit must be corrected immediately. On or before 3/18/25 I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 Traci.meyer@dhhs.nc.gov. 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86%) percent prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License: •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •Resource Center (SSRC) is funded by and in partnership with the Alliance for Children and is hosted by South Piedmont Community College. The SSRC offers a variety of materials to support children ages 0-5 in their learning and development. The SSRC is a lending library of more than 5,000 resources with a delivery service. If you are interested you can reach the SSRC via email at smartstartresourcecenter@gmail.com or by phone at 704-290-5894. •On children’s enrollment forms, please add a section for the original enrollment date. •In the room that serves toddlers, it might be beneficial for extra training for the teachers to assist with some concerns, such as climbing on unsafe surfaces and interactions when there is just one teacher in the classrooms. Child Care resources Inc. has a training calendar with different trainings to meet these needs. •On-going training thought out the year should be better documented showing how many hours new employees received as well as existing employees. •Emergency Medication, such as epi pens should be easily accessible not only in location but in the containers that keep the medication. Make sure the bags in the rooms holding the epi-pens are easy to open. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged to ask any questions and you did not have any. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 1124-184L Visit Date: 11/21/2024 Number Present: 113 Completed Date: 11/21/2024 Age: From 0 To 5 Total Minutes: 218 Time In: 09:22 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by Ms. N. Stanley and I shared the complaint allegations giving you a chance to respond. There are concerns that 1.A toddler was not treated in a caring or nurturing manner. 2.Children are not adequately supervised. 3.Incident reports are not prepared as required 4.Toys are not accessible for toddler as required 5.Music is not developmentally appropriate and is played during morning drop off. I spoke with Ms. Stanley upon arrival, and she assisted me with today’s visit. Ms. Stanley reported that she was aware of the incident reports, that have been filled out recently and I was able to view all incident reports. There was one incident report filled out on 11/4/24 but not signed until 11/13/24. Ms. Stanley addressed this saying the parent wouldn’t sign it immediately. We discussed that it was appropriate for the facility to add “refused to sign” and keep that on file. Ms. Stanley did show another incident report that happened on 11/14/24 in which the same parent did refuse to sign. This is an appropriate action. I observed the children in the toddler classroom(s) and they were short staffed today, which made it harder for the teacher to keep her eye on the entire class while performing self-help tasks, such a diapering. The other toddler classroom was operating with a larger number of children in the room and had two (2) teachers. While it was challenging to watch and preform self-help tasks at the same time, the teacher was actively listening and talking to the children in her care. When I did come into the classroom, there was music playing that was inappropriate for the age of the children. Please keep music playing that is appropriate for any age group and promotes positive learning and interaction for the children in care. The toddler(s) classrooms did have toys on each shelf that were age appropriate. The room had a new configuration and may need to be tweaked to assist with sight lines and center areas. Some of the bookshelves were facing the wall and closed to the toddlers. This included a science center, and two (2) smaller bookshelves. An area to work on is, introducing more supplies in the classrooms, that will hold the toddler’s attention. Toy and supply rotation is an easy way to obtain this goal. The kitchen area in both classrooms used for dramatic play should be better stocked with supplies to foster play. During my visit, each child was treated in a nurturing manner with the teachers using kind tones but some of the words could be more appropriate for the ages they serve. Instead of “stop pulling that off the wall” consider, “that is our friends art, and we want to leave it on the door for all of us to look at” or “please be gentle with our door”. Switching up the words used to toddlers commands a more appropriate reaction from the children and they are more likely to repeat the kind behavior and words to their peers. I am suggesting a training for all Infant and Toddler Teachers to better assist with communication and interactions with children in their care. I also observed the playgrounds and teachers supervising children while they played. The teachers were not on their phones, and were actively engaging with children in their care. I interviewed four (4) teachers and while they do agree there is more training they could obtain, and they would like assistance with daily interactions with parents, overall, they all reported the same information about the incident report. While it was reported that the caregivers did not show interest in in a positive manner every day, this was not observed on my visit. I found the teachers to be interactive, kind, and very curious of other ways to interact with the children in their classrooms. I reviewed all four (4) toddler teacher’s files and noted their trainings for that specific age group and all but one have adequate amount and would benefit from more trainings, and one on one (1:1) peer mentoring sessions. I reviewed all incident reports and found them to be in compliance. I am suggesting a more proactive approach for children who have more incidents than other children to better communicate with the parents/guardians. Toys were accessible and while more of a rotation could be put in place, this was in compliance. Music at all times should be child-friendly and appropriate. Findings: Based on interviews, observations and information obtained the alleged complaints of •Toddlers not being treated in nurturing manner is unsubstantiated •Toys are not accessible for toddlers is unsubstantiated •Children are not adequately supervised on the playground is unsubstantiated •Incident reports are not prepared as required is unsubstantiated •Music that is developmentally inappropriate is substantiated Observations: There were one hundred and thirteen (113) children in attendance today. The children were observed participating in morning care routines, arrival, handwashing, and self-directed free choice activities. It was an inclement weather day, so the children were participating in indoor gross motor activities. Documents Review: I reviewed all necessary incident reports, and staff file. All were in compliance. Findings: Based on interviews, observations and information obtained of the five (5) alleged complaints, one (1) was substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In the room that serves toddlers there is inappropriate music during drop off and during the day. G.S. 110-91(10) I must receive a correction letter on or before 12/04/2024 stating that the violation/complaint has been corrected and how the facility will keep this occurrence from happening in the future. The compliance letter can be emailed to me at Traci.meyer@dhhs.nc.gov Or mailed Traci Meyer Carpenter PO Box 364 Matthews, NC 28106 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •NITTO is a training offered through the Division of Child Development’s Moodle website. https://www.dcdee.moodle.nc.gov/enrol/index.php?id=91 o This is a virtual self-guided multiple week course for new infant and toddler teachers. •The NITTO course is an excellent review of all things toddler and infant and would be beneficial for all teaching in this age group. My suggestion is to enroll all infant and toddler teachers. •This is the second (2nd) time an incident report has been reported in an alleged complaint, and while it was found to be unsubstantiated, a training for all teachers about the rules and laws pertaining to filling out incident reports would be beneficial. •It was suggested that when a child has multiple incident reports in a short time frame, to be proactive to the families of the child. Letting them know ahead of time through the facilities app could be very helpful. •Consider contacting The Alliance for Children or Child Care Resources for specific assistance with room arrangements. •Child Care Resources has a great on-boarding virtual training that involves, A+ supervision and clean classrooms are examples of some of the options. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 1124-184L Visit Date: 11/21/2024 Number Present: 113 Completed Date: 11/21/2024 Age: From 0 To 5 Total Minutes: 218 Time In: 09:22 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by Ms. N. Stanley and I shared the complaint allegations giving you a chance to respond. There are concerns that 1.A toddler was not treated in a caring or nurturing manner. 2.Children are not adequately supervised. 3.Incident reports are not prepared as required 4.Toys are not accessible for toddler as required 5.Music is not developmentally appropriate and is played during morning drop off. I spoke with Ms. Stanley upon arrival, and she assisted me with today’s visit. Ms. Stanley reported that she was aware of the incident reports, that have been filled out recently and I was able to view all incident reports. There was one incident report filled out on 11/4/24 but not signed until 11/13/24. Ms. Stanley addressed this saying the parent wouldn’t sign it immediately. We discussed that it was appropriate for the facility to add “refused to sign” and keep that on file. Ms. Stanley did show another incident report that happened on 11/14/24 in which the same parent did refuse to sign. This is an appropriate action. I observed the children in the toddler classroom(s) and they were short staffed today, which made it harder for the teacher to keep her eye on the entire class while performing self-help tasks, such a diapering. The other toddler classroom was operating with a larger number of children in the room and had two (2) teachers. While it was challenging to watch and preform self-help tasks at the same time, the teacher was actively listening and talking to the children in her care. When I did come into the classroom, there was music playing that was inappropriate for the age of the children. Please keep music playing that is appropriate for any age group and promotes positive learning and interaction for the children in care. The toddler(s) classrooms did have toys on each shelf that were age appropriate. The room had a new configuration and may need to be tweaked to assist with sight lines and center areas. Some of the bookshelves were facing the wall and closed to the toddlers. This included a science center, and two (2) smaller bookshelves. An area to work on is, introducing more supplies in the classrooms, that will hold the toddler’s attention. Toy and supply rotation is an easy way to obtain this goal. The kitchen area in both classrooms used for dramatic play should be better stocked with supplies to foster play. During my visit, each child was treated in a nurturing manner with the teachers using kind tones but some of the words could be more appropriate for the ages they serve. Instead of “stop pulling that off the wall” consider, “that is our friends art, and we want to leave it on the door for all of us to look at” or “please be gentle with our door”. Switching up the words used to toddlers commands a more appropriate reaction from the children and they are more likely to repeat the kind behavior and words to their peers. I am suggesting a training for all Infant and Toddler Teachers to better assist with communication and interactions with children in their care. I also observed the playgrounds and teachers supervising children while they played. The teachers were not on their phones, and were actively engaging with children in their care. I interviewed four (4) teachers and while they do agree there is more training they could obtain, and they would like assistance with daily interactions with parents, overall, they all reported the same information about the incident report. While it was reported that the caregivers did not show interest in in a positive manner every day, this was not observed on my visit. I found the teachers to be interactive, kind, and very curious of other ways to interact with the children in their classrooms. I reviewed all four (4) toddler teacher’s files and noted their trainings for that specific age group and all but one have adequate amount and would benefit from more trainings, and one on one (1:1) peer mentoring sessions. I reviewed all incident reports and found them to be in compliance. I am suggesting a more proactive approach for children who have more incidents than other children to better communicate with the parents/guardians. Toys were accessible and while more of a rotation could be put in place, this was in compliance. Music at all times should be child-friendly and appropriate. Findings: Based on interviews, observations and information obtained the alleged complaints of •Toddlers not being treated in nurturing manner is unsubstantiated •Toys are not accessible for toddlers is unsubstantiated •Children are not adequately supervised on the playground is unsubstantiated •Incident reports are not prepared as required is unsubstantiated •Music that is developmentally inappropriate is substantiated Observations: There were one hundred and thirteen (113) children in attendance today. The children were observed participating in morning care routines, arrival, handwashing, and self-directed free choice activities. It was an inclement weather day, so the children were participating in indoor gross motor activities. Documents Review: I reviewed all necessary incident reports, and staff file. All were in compliance. Findings: Based on interviews, observations and information obtained of the five (5) alleged complaints, one (1) was substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In the room that serves toddlers there is inappropriate music during drop off and during the day. G.S. 110-91(10) I must receive a correction letter on or before 12/04/2024 stating that the violation/complaint has been corrected and how the facility will keep this occurrence from happening in the future. The compliance letter can be emailed to me at Traci.meyer@dhhs.nc.gov Or mailed Traci Meyer Carpenter PO Box 364 Matthews, NC 28106 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •NITTO is a training offered through the Division of Child Development’s Moodle website. https://www.dcdee.moodle.nc.gov/enrol/index.php?id=91 o This is a virtual self-guided multiple week course for new infant and toddler teachers. •The NITTO course is an excellent review of all things toddler and infant and would be beneficial for all teaching in this age group. My suggestion is to enroll all infant and toddler teachers. •This is the second (2nd) time an incident report has been reported in an alleged complaint, and while it was found to be unsubstantiated, a training for all teachers about the rules and laws pertaining to filling out incident reports would be beneficial. •It was suggested that when a child has multiple incident reports in a short time frame, to be proactive to the families of the child. Letting them know ahead of time through the facilities app could be very helpful. •Consider contacting The Alliance for Children or Child Care Resources for specific assistance with room arrangements. •Child Care Resources has a great on-boarding virtual training that involves, A+ supervision and clean classrooms are examples of some of the options. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: 1124-130L Visit Date: 11/14/2024 Number Present: 117 Completed Date: 11/14/2024 Age: From 0 To 5 Total Minutes: 143 Time In: 09:37 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Upon arrival, I was greeted by Ms. N. Stanley and I shared the complaint allegations giving you a chance to respond. Ms. Stanley had all appropriate paperwork ready for my arrival. There are concerns that 1.A child was given another child’s bottle of formula for feeding. I spoke with Ms. Stanley and asked her if this was a self-report, as it was not clear on the intake sheet, she stated it was self-reported. I asked Ms. Stanley why it took almost thirty (30) calendar days to report the incident to the Division of Child Development and Early Education or to their Child Care Consultant. She replied that, the principal, was under the impression only human milk errors were to be reported. Ms. Stanley and I discussed anytime a child is given food that is labeled for another child, including formula it needed to be reported and if there is an incident, an incident report needs to be completed, reviewed, and signed. Ms. Stanley reported the day of the incident, they called both families involved in the incident, but no incident report was filled out or provided. Both families reported they were not upset about the formula/bottle feeding incident. I did call both families, since the incident was reported well after the date of occurrence. The family whose child’s bottle was given to the other child was not concerned and stated as much. When speaking with the other child’s family, the parent was concerned that her child was given a different formula in which she doesn’t want her child to have as she is trying to keep him away from the ingredients in traditional formulas. She did state that there were no stomach or medical issues from the occurrence and the school called her immediately after the incident. I interviewed all the teachers in the two (2) infant classrooms and since the incident occurred during nap time the minimum number of teachers were in the room to maintain ratios. The room is connected but separated by a large open structure in the middle with sinks and refrigerators on each side. While the teachers can hear each other or ask for help as needed the room is physically separated. The teacher in room one b (1b) did not see the incident occur and the only teacher in room one a (1a) gave the incorrect bottle. The other teacher’s in the classrooms were either out that day, or on their lunch break. Upon my interview, I asked what current steps were in place to prevent bottle mix ups from occurring. It was shared that each bottle is labeled and dated (by law), color coded by child, and marked if it is formula or human milk. The room has a sign above the refrigerator showing how to label bottles, a white board with the child’s name and time of bottle feeding to maintain accuracy in bottle feeding. The room has large windows leading to a brightly lit hallway, and to the outside. On the day of the incident, it was stated that one (1) row of lights were off and the shades were one half (1/2) way closed and it was sunny. The light above the refrigerator was on, and the bottles were labeled and color coded properly. When I conducted my interview with the teacher who fed the incorrect bottle, she sated it was a mistake and the room was dark. She also stated the child was pushing the bottle away while feeding and when she went to reposition, she noticed the bottle was for a different child. She stopped feeding the child, and called administration. She stated the child only ingested about one (1) ounce of the incorrect formula. Reviewing the witness statement, documents and other paperwork, it was stated that the room was dark enough to where the teacher couldn’t clearly see the label. Findings: Based on interviews, observations and information obtained the alleged complaint is substantiated. Observations: There were one hundred and seventeen (117) of children in attendance today. The children were observed participating in morning care routines, arrival, handwashing, and self-directed free choice activities. It was an inclement weather day, so the children were participating in indoor gross motor activities. Documents Review: I reviewed both infant’s files, and both had active and accurate infant feeding schedules and information. The children’s medical forms reported neither child has any allergies food or otherwise related. I also reviewed the staff members’ file and found no other concerns or significant write ups. Findings: Based on interviews, observations and information obtained the alleged complaint is substantiated and there were two (2) violations. Violation Number Comment Rule 1887 Each infant was not served only bottles labeled with their individual name. In infant in space number one (#1) was served a reported one (1) to two (2) ounces of another infants' formula. The bottles were name and date labeled and color coded. .0902(d) 1952 A copy of the incident report was not given to the parent. Upon the incident occurring, and incident report was not filled out, reviewed, signed or given to the families involved. .0802(e) Based on today's findings, I must receive a correction letter on or before 11/27/2024 stating that the violation/complaint has been corrected and how the facility will keep this occurrence from happening in the future. The compliance letter can be sent to me at Traci.meyer@dhhs.nc.gov Or Traci Meyer Carpenter PO Box 364 Matthews, NC 28106 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance •The facility has stated that all infant teachers and administrators have completed a two (2) hour training on feeding infants and infant care before my visit today. • The facility has already taken proactive action to prevent reoccurrence including but not limited to • Shades will be ½ up at all times • Only one (1) row of lights will be off at a time • Having a group meeting to test for knowledge and to go over policy and procedures • Allowing the Administration to check bottles each morning for proper labeling • To retain on matching tape colors on bottles. •In the event of an incident like this happening again, self-reporting in a timely manner is crucial. This incident was reported to the families involved but not to the Division until the Chesterbrook Franchise Staff became involved. An incident report should have been filled out, reviewed by the families involved and signed. If necessary, a training or overview of incident reports can be scheduled and presented. Exit Conference: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. We jointly reviewed the visit summary and documentation of my findings with you. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest updates. If you have questions or need further assistance, please contact me at 704-549-0041 or via email at traci.meyer@dhhs.nc.gov Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant Division of Child Development and Early Education 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: ratio. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 116 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 163 Time In: 09:00 AM Time Out: 11:43 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. P. Fleig I shared the reason for the visit and she assisted me with today’s visit. Your program currently operates with a Four (4) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percent as of today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The fire inspection has not occurred since the last visit and remain current. The following items above were found in/out of compliance. The following inspections are below. •Last fire drill was conducted on 9/10/24. •Last Shelter in Place/Lockdown Drill was conducted 7/3/24. •Last Playground Inspection was conducted on 9/18/24. The children were observed in the room that serves infants were resting and finishing breakfast. In the room that serves toddler age children, they were observed participating in self-directed free play. In the room that serves two (2) to three (3) year old's, they were observed participating in teacher led circle time and transitioning from breakfast to self-choice center time. The children in the rooms that serve four (4) year old's to five (5) year old's, they were observed to be participating in transitioning to outdoor learning and teacher directed story time. Outdoor Learning Environment: All three (3) playgrounds were monitored and were in compliance. Staff Records: The staff-training worksheets were completed during the visit and reviewed by Ms. Fleig. There were six (6) new staff members since the last visit. Medication: Emergency medication was monitored and in space nine(9) there was one epi pen which should moved up when the child switched rooms. The permission slip did not provide a date range for usage and the medication expired. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored Nutrition: The Menu and allergy list were posted and in compliance. Lunch consisted of chicken and dumplings, carrots, peaches and milk with a creamy butter noodle vegetarian option. Three (3) violations were observed during today's visit and one was corrected. The violations are as follows: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space number 1a, there were two infants who did not have a written feeding plan posted. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space number nine (9) the medical permission slip was not filled out with a date range of when the medication could be used. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space number nine (9) a medication expired in August of 2024 and was not returned to the family within the time frame allotted. .0803(12) On or before 11/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •In rooms that have direct access to unlocked door that leads to the parking lot, please remember to use the alarm system to indicate when the door could be opened by a child. •In the School Age room, a dehumidifier may be beneficial to assist with the temperature and environment in the room. Keep in mind all rules and regulations that apply to having fans in the rooms. •Emergency medication should always be accessible, and staff members should be able to open storage bags which hold emergency medication quickly. •The Union County Health Department offers trainings on emergency medication and may be beneficial for all employees. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 116 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 163 Time In: 09:00 AM Time Out: 11:43 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. P. Fleig I shared the reason for the visit and she assisted me with today’s visit. Your program currently operates with a Four (4) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percent as of today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The fire inspection has not occurred since the last visit and remain current. The following items above were found in/out of compliance. The following inspections are below. •Last fire drill was conducted on 9/10/24. •Last Shelter in Place/Lockdown Drill was conducted 7/3/24. •Last Playground Inspection was conducted on 9/18/24. The children were observed in the room that serves infants were resting and finishing breakfast. In the room that serves toddler age children, they were observed participating in self-directed free play. In the room that serves two (2) to three (3) year old's, they were observed participating in teacher led circle time and transitioning from breakfast to self-choice center time. The children in the rooms that serve four (4) year old's to five (5) year old's, they were observed to be participating in transitioning to outdoor learning and teacher directed story time. Outdoor Learning Environment: All three (3) playgrounds were monitored and were in compliance. Staff Records: The staff-training worksheets were completed during the visit and reviewed by Ms. Fleig. There were six (6) new staff members since the last visit. Medication: Emergency medication was monitored and in space nine(9) there was one epi pen which should moved up when the child switched rooms. The permission slip did not provide a date range for usage and the medication expired. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored Nutrition: The Menu and allergy list were posted and in compliance. Lunch consisted of chicken and dumplings, carrots, peaches and milk with a creamy butter noodle vegetarian option. Three (3) violations were observed during today's visit and one was corrected. The violations are as follows: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space number 1a, there were two infants who did not have a written feeding plan posted. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space number nine (9) the medical permission slip was not filled out with a date range of when the medication could be used. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space number nine (9) a medication expired in August of 2024 and was not returned to the family within the time frame allotted. .0803(12) On or before 11/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •In rooms that have direct access to unlocked door that leads to the parking lot, please remember to use the alarm system to indicate when the door could be opened by a child. •In the School Age room, a dehumidifier may be beneficial to assist with the temperature and environment in the room. Keep in mind all rules and regulations that apply to having fans in the rooms. •Emergency medication should always be accessible, and staff members should be able to open storage bags which hold emergency medication quickly. •The Union County Health Department offers trainings on emergency medication and may be beneficial for all employees. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 116 Completed Date: 10/23/2024 Age: From 0 To 5 Total Minutes: 163 Time In: 09:00 AM Time Out: 11:43 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced routine visit. Upon arrival I was greeted by Ms. P. Fleig I shared the reason for the visit and she assisted me with today’s visit. Your program currently operates with a Four (4) Star Center License. The license was posted, with restrictions to first (1st) shift care, meets enhanced ratios and meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84%) percent as of today’s visit. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The fire inspection has not occurred since the last visit and remain current. The following items above were found in/out of compliance. The following inspections are below. •Last fire drill was conducted on 9/10/24. •Last Shelter in Place/Lockdown Drill was conducted 7/3/24. •Last Playground Inspection was conducted on 9/18/24. The children were observed in the room that serves infants were resting and finishing breakfast. In the room that serves toddler age children, they were observed participating in self-directed free play. In the room that serves two (2) to three (3) year old's, they were observed participating in teacher led circle time and transitioning from breakfast to self-choice center time. The children in the rooms that serve four (4) year old's to five (5) year old's, they were observed to be participating in transitioning to outdoor learning and teacher directed story time. Outdoor Learning Environment: All three (3) playgrounds were monitored and were in compliance. Staff Records: The staff-training worksheets were completed during the visit and reviewed by Ms. Fleig. There were six (6) new staff members since the last visit. Medication: Emergency medication was monitored and in space nine(9) there was one epi pen which should moved up when the child switched rooms. The permission slip did not provide a date range for usage and the medication expired. Weapons: Today you reported that your facility was in compliance with childcare requirements regarding firearms. Transportation: Transportation was not monitored Nutrition: The Menu and allergy list were posted and in compliance. Lunch consisted of chicken and dumplings, carrots, peaches and milk with a creamy butter noodle vegetarian option. Three (3) violations were observed during today's visit and one was corrected. The violations are as follows: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) In space number 1a, there were two infants who did not have a written feeding plan posted. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. In space number nine (9) the medical permission slip was not filled out with a date range of when the medication could be used. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space number nine (9) a medication expired in August of 2024 and was not returned to the family within the time frame allotted. .0803(12) On or before 11/5/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Hold Harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort #1 (number one) are not required to go any further with a rated license assessment unless they want to, and providers in Cohort #2 (number two) do not need to start their preparation year unless they want to. Upon request, a childcare facility may be awarded a star-rated license based on accreditation from a national childhood education accreditation organization provided the facility maintains its accreditation and remains in good standing. •Use this time for staff to update their information in the WORKS database. For more information, please go to https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS. Have all staff update their education including certifications. Technical Assistance •In rooms that have direct access to unlocked door that leads to the parking lot, please remember to use the alarm system to indicate when the door could be opened by a child. •In the School Age room, a dehumidifier may be beneficial to assist with the temperature and environment in the room. Keep in mind all rules and regulations that apply to having fans in the rooms. •Emergency medication should always be accessible, and staff members should be able to open storage bags which hold emergency medication quickly. •The Union County Health Department offers trainings on emergency medication and may be beneficial for all employees. •Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. o DCDEE encourages you to utilize the Clean Classrooms for Children’s program. You can take the pre-enrollment webinars which is available at www.cleanwaterforUSkids.org/carolina then enroll – At www.cleanwaterforUSkids.org/carolina completing the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. Keep mindful that once you evaluate potential hazards and receive results if there are recommendations and/or water mitigation support is needed they will provide direction in how to mitigate and ways to fund said mitigation. We jointly reviewed the visit summary and documentation of my findings and violations with you, I encouraged you to ask any questions and you stated that you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov. Thank you for your assistance during today’s visit. Traci Meyer Carpenter Child Care Consultant 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 .2818 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0624-050L Visit Date: 6/12/2024 Number Present: 134 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0624-050L of violations of childcare rules and regulation. I met with the Assistant Administrator Brenna Soukup and explained the reason for my visit. Ms Patti Fleig, Administrator was not present during the visit. Allegations: 1.) There is a concern that staff did not interact with children in a nurturing and caring manner. 2.) There is a concern that children are not being provided with developmentally appropriate activities. 3.) There is a concern that sanitation guidelines are not being followed. Interviews: Interviews were conducted with Ms. Soukup and she reported although she has no awareness of any incidents that have occurred where violations of childcare rules and regulations occurred. She did mention that as a new part of the Administrative Team that they are working on assisting teachers with training and guidance around appropriate tone and verbal interaction, classroom management skills, and a sanitation compliance plan. Ms. Fleig was called on the phone and we discussed the complaint and she mentioned that she recently had a staff member leave upset. She stated that she worked with a few classrooms and every day she would break down crying and she became overwhelmed and was mentored by the more seasoned teacher. Any time they provided guidance, and she would become very emotional. Ms. Fleig stated that this staff did not care for the last person that she worked with. Ms. Fleig stated that the last day she was reprimanded for sitting in a chair on the playground and she became upset and walked off the playground leaving the children out of compliance, so Ms. Fleig reported that she immediately went out to the playground to ensure staff child ratio was kept in compliance. When another staff was able to relieve Ms. Fleig, she went in and spoke to the staff person who was very emotional and gave her the rest of the day to gather herself. The following day the staff person did not show up to work and therefore Ms. Fleig and emailed and she sent back a resignation. She also stated that the staff person who was alleged to not comply with the Rules and Regulations has since given her two-week notice. Interview with all staff present, and their reports varied from hearing language that had tones that were not only loud but also demeaning to reports that they have not heard any concerning tone of voice or communication that was concerning. The staff that are on the Playground at the same time as the staff person who reportedly was not providing a nurturing environment in regard to her language skills consistently reported that the language was not always nurturing or caring with words like stupid and demeaning tones and talking about children negatively to other staff while the children are in hearing range. I thanked all staff for their input as the investigations purpose is to ensure compliance but also to equip the Administration with knowledge and tools to educate staff that may need additional assistance. After speaking with Ms. Fleig, I investigated the report of the children being left on the playground when the one staff, CG, got upset and walked off the playground to Ms. Fleig's office, the time elapsed was differently remembered by the staff left on the playground as more like 10-15 minutes in comparison to the just a small amount of elapsed time as reported by Ms. Fleig. I reinterviewed the staff that were on the playground during this time, and all reported a 10-to-15-minute amount of elapsed time. HH who was in the classroom at the time as the other caregiver reported that it was about 10 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. I asked HH did she notify someone that she was out of ratio and she stated they knew because she was in their office. Video was live stream and therefore I requested permission to view the video prior to observing the classrooms in person. Ms. Terri Flake, Chesterbrook Area Principal was contacted for this approval, and she stated that she would need to contact Ebony Jones, Regional Principal/Director for approval to observe via the live stream. About five minutes later I was notified that I was not allowed to view the live stream without permission from Chesterbrook’s Legal counsel. A walk through of the entire facility was conducted and there was no observation of children being cared for in a nurturing and caring environment during the observation. The children were participating in outdoor gross motor play, free play in their center areas, language activities, tummy time and floor play for the infants, and circle time that included not only language activities but math and science activities as well. Cots were all labeled with the children’s names, and it was reported that children lay on their assigned cots. Materials were monitored for Developmentally Appropriate, and all materials observed were developmentally appropriate. Documents Review: I asked to review the staff files and Ms. Soukup was unaware of the location of the files. Ms. Ida, Receptionist, was asked where the Staff Files were located, and she was unable to retrieve the key to obtain the files. While they were looking for the files, I observed a bottle of Zyrtec that was not kept under lock and key. Curriculum was reviewed and the program uses the Chesterbrook Curriculum, "Links to Learning", which doesn’t include ditto sheets or activities that are not developmentally appropriate. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. Today there were One hundred and thirty-four (134) children present and twenty-four (24) teaching staff present. Based on the interviews, Allegations #1, where there was a concern that staff did not interact with children in a nurturing and caring manner was deemed substantiated as there was multiple staff reports that the staff, HH, would speak to the children with a loud demeaning tone and speak about other children to the other staff in front of them. Allegation #2, where there was a concern that the children are not being provided with developmentally appropriate activities was deemed not able to substantiate. No materials were found that were not appropriate for the children based on their age in each classroom space. I explained to the staff person who had observed ditto sheets that these could be used for children to draw upon or complete but that it would need to be the child’s choice and not be an activity where the children were sat down at the table all together and made to do the ditto sheet as if this occurred it would not be developmentally appropriate. Allegation #3, where there was a concern that sanitation guidelines are not being followed was deemed no substantiated as all cots were labeled with the children’s names and the report was that the children found their names and laid on their cots or were directed to their cots and that they had not placed children on other children’s cots. The following violations were cited and/or observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the Administrators office while the Assistant Administrator was looking for the key to open the staff file cabinet, I observed a bottle of Zyrtec. I picked up the bottle and it did have pills inside of the bottle. All non-prescription medications must be stored in a locked cabinet or locked container. 15A NCAC 18A .2820(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. One staff person, HH, was overheard by other staff, spoke to the children in her care in a harsh and belittling tone, calling the children stupid, speaking loudly at them giving directives and speaking about children in a negative manner to other staff in front of the child and/or other children. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. All staff files were in a file cabinet that was locked, and the Administrative Team was unable to locate the key in Ms. Fleig, Administrators, absence. G.S. 110-91( 9) 1756 Enhanced staff/child ratios and group sizes were not met. On either Tuesday June 4, 2024, or Wednesday June 5, 2024, a classroom serving 3-year-old children were on the playground for between 10 to 15 minutes without proper staff/child ratio being maintained. The staff/caregiver who was providing supervision of these children reported that the other staff/caregiver became upset and left the playground leaving her out of staff/child ratio. She stated that it was about 10 to 15 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. The staff/caregiver who remained with the children reported that she did not notify anyone because she went to the office therefore Administration was aware. 10A NCAC 09 .2818 A corrective action letter will need to be submitted with the name of the facility, date of the visit, date of the submission, item numbers of violation, how they violations were corrected and how these violations will be prevented in the future. These violations must be corrected immediately and a statement of correction must be submitted no later than June 26, 2024. A follow up visit may be conducted in the near future based on the outcome of today’s visit. Technical Assistance: I would encourage the management staff to have all staff to utilized the resources that are on the North Carolina Rated License Website, www.ncrlap.org, and review the available resources including Language for Learners, review NAEYC’s Developmentally Appropriate Practice information https://www.naeyc.org/resources/topics/dap and use the North Carolina Foundations for Early Learning and Development Foundations which provides guidelines for Development and Learning for North Carolina's children ages birth to 5-yrs old and includes goals, developmental indicators, and strategies in five developmental domains of Approaches to Play and Learning, Emotional and Social Development, Health and Physical Development, Language Development and Communication, and Cognitive Development found at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development. I also discussed with both the Assistant Administrator and the Regional Principal, Ebony, via a phone call that there seemed to be a lack of communication whereas when the Assistant Administrator arrived today after a medical leave that the Administrator was on vacation, and she had no knowledge of the incidents Ms. Fleig reported nor any information that she may have needed to be disseminated to her in her absence in order to effectively meet the needs of Center under her watch today. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. After today's visit you compliance history is 84%. Failure to do so may result in the issuance of a provisional license or other administrative action. I provided information regarding that whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing I reviewed the visit summary with Ms. Soukup, and asked if she had any questions and she stated that at this time which they stated that they did not. I encouraged them that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148. I thanked Ms. Soukup for her transparency and desire to support the staff in any training, guidance, or/and support that they may need to become an effective educator which in turn will promote quality care and education. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0624-050L Visit Date: 6/12/2024 Number Present: 134 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0624-050L of violations of childcare rules and regulation. I met with the Assistant Administrator Brenna Soukup and explained the reason for my visit. Ms Patti Fleig, Administrator was not present during the visit. Allegations: 1.) There is a concern that staff did not interact with children in a nurturing and caring manner. 2.) There is a concern that children are not being provided with developmentally appropriate activities. 3.) There is a concern that sanitation guidelines are not being followed. Interviews: Interviews were conducted with Ms. Soukup and she reported although she has no awareness of any incidents that have occurred where violations of childcare rules and regulations occurred. She did mention that as a new part of the Administrative Team that they are working on assisting teachers with training and guidance around appropriate tone and verbal interaction, classroom management skills, and a sanitation compliance plan. Ms. Fleig was called on the phone and we discussed the complaint and she mentioned that she recently had a staff member leave upset. She stated that she worked with a few classrooms and every day she would break down crying and she became overwhelmed and was mentored by the more seasoned teacher. Any time they provided guidance, and she would become very emotional. Ms. Fleig stated that this staff did not care for the last person that she worked with. Ms. Fleig stated that the last day she was reprimanded for sitting in a chair on the playground and she became upset and walked off the playground leaving the children out of compliance, so Ms. Fleig reported that she immediately went out to the playground to ensure staff child ratio was kept in compliance. When another staff was able to relieve Ms. Fleig, she went in and spoke to the staff person who was very emotional and gave her the rest of the day to gather herself. The following day the staff person did not show up to work and therefore Ms. Fleig and emailed and she sent back a resignation. She also stated that the staff person who was alleged to not comply with the Rules and Regulations has since given her two-week notice. Interview with all staff present, and their reports varied from hearing language that had tones that were not only loud but also demeaning to reports that they have not heard any concerning tone of voice or communication that was concerning. The staff that are on the Playground at the same time as the staff person who reportedly was not providing a nurturing environment in regard to her language skills consistently reported that the language was not always nurturing or caring with words like stupid and demeaning tones and talking about children negatively to other staff while the children are in hearing range. I thanked all staff for their input as the investigations purpose is to ensure compliance but also to equip the Administration with knowledge and tools to educate staff that may need additional assistance. After speaking with Ms. Fleig, I investigated the report of the children being left on the playground when the one staff, CG, got upset and walked off the playground to Ms. Fleig's office, the time elapsed was differently remembered by the staff left on the playground as more like 10-15 minutes in comparison to the just a small amount of elapsed time as reported by Ms. Fleig. I reinterviewed the staff that were on the playground during this time, and all reported a 10-to-15-minute amount of elapsed time. HH who was in the classroom at the time as the other caregiver reported that it was about 10 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. I asked HH did she notify someone that she was out of ratio and she stated they knew because she was in their office. Video was live stream and therefore I requested permission to view the video prior to observing the classrooms in person. Ms. Terri Flake, Chesterbrook Area Principal was contacted for this approval, and she stated that she would need to contact Ebony Jones, Regional Principal/Director for approval to observe via the live stream. About five minutes later I was notified that I was not allowed to view the live stream without permission from Chesterbrook’s Legal counsel. A walk through of the entire facility was conducted and there was no observation of children being cared for in a nurturing and caring environment during the observation. The children were participating in outdoor gross motor play, free play in their center areas, language activities, tummy time and floor play for the infants, and circle time that included not only language activities but math and science activities as well. Cots were all labeled with the children’s names, and it was reported that children lay on their assigned cots. Materials were monitored for Developmentally Appropriate, and all materials observed were developmentally appropriate. Documents Review: I asked to review the staff files and Ms. Soukup was unaware of the location of the files. Ms. Ida, Receptionist, was asked where the Staff Files were located, and she was unable to retrieve the key to obtain the files. While they were looking for the files, I observed a bottle of Zyrtec that was not kept under lock and key. Curriculum was reviewed and the program uses the Chesterbrook Curriculum, "Links to Learning", which doesn’t include ditto sheets or activities that are not developmentally appropriate. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. Today there were One hundred and thirty-four (134) children present and twenty-four (24) teaching staff present. Based on the interviews, Allegations #1, where there was a concern that staff did not interact with children in a nurturing and caring manner was deemed substantiated as there was multiple staff reports that the staff, HH, would speak to the children with a loud demeaning tone and speak about other children to the other staff in front of them. Allegation #2, where there was a concern that the children are not being provided with developmentally appropriate activities was deemed not able to substantiate. No materials were found that were not appropriate for the children based on their age in each classroom space. I explained to the staff person who had observed ditto sheets that these could be used for children to draw upon or complete but that it would need to be the child’s choice and not be an activity where the children were sat down at the table all together and made to do the ditto sheet as if this occurred it would not be developmentally appropriate. Allegation #3, where there was a concern that sanitation guidelines are not being followed was deemed no substantiated as all cots were labeled with the children’s names and the report was that the children found their names and laid on their cots or were directed to their cots and that they had not placed children on other children’s cots. The following violations were cited and/or observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the Administrators office while the Assistant Administrator was looking for the key to open the staff file cabinet, I observed a bottle of Zyrtec. I picked up the bottle and it did have pills inside of the bottle. All non-prescription medications must be stored in a locked cabinet or locked container. 15A NCAC 18A .2820(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. One staff person, HH, was overheard by other staff, spoke to the children in her care in a harsh and belittling tone, calling the children stupid, speaking loudly at them giving directives and speaking about children in a negative manner to other staff in front of the child and/or other children. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. All staff files were in a file cabinet that was locked, and the Administrative Team was unable to locate the key in Ms. Fleig, Administrators, absence. G.S. 110-91( 9) 1756 Enhanced staff/child ratios and group sizes were not met. On either Tuesday June 4, 2024, or Wednesday June 5, 2024, a classroom serving 3-year-old children were on the playground for between 10 to 15 minutes without proper staff/child ratio being maintained. The staff/caregiver who was providing supervision of these children reported that the other staff/caregiver became upset and left the playground leaving her out of staff/child ratio. She stated that it was about 10 to 15 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. The staff/caregiver who remained with the children reported that she did not notify anyone because she went to the office therefore Administration was aware. 10A NCAC 09 .2818 A corrective action letter will need to be submitted with the name of the facility, date of the visit, date of the submission, item numbers of violation, how they violations were corrected and how these violations will be prevented in the future. These violations must be corrected immediately and a statement of correction must be submitted no later than June 26, 2024. A follow up visit may be conducted in the near future based on the outcome of today’s visit. Technical Assistance: I would encourage the management staff to have all staff to utilized the resources that are on the North Carolina Rated License Website, www.ncrlap.org, and review the available resources including Language for Learners, review NAEYC’s Developmentally Appropriate Practice information https://www.naeyc.org/resources/topics/dap and use the North Carolina Foundations for Early Learning and Development Foundations which provides guidelines for Development and Learning for North Carolina's children ages birth to 5-yrs old and includes goals, developmental indicators, and strategies in five developmental domains of Approaches to Play and Learning, Emotional and Social Development, Health and Physical Development, Language Development and Communication, and Cognitive Development found at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development. I also discussed with both the Assistant Administrator and the Regional Principal, Ebony, via a phone call that there seemed to be a lack of communication whereas when the Assistant Administrator arrived today after a medical leave that the Administrator was on vacation, and she had no knowledge of the incidents Ms. Fleig reported nor any information that she may have needed to be disseminated to her in her absence in order to effectively meet the needs of Center under her watch today. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. After today's visit you compliance history is 84%. Failure to do so may result in the issuance of a provisional license or other administrative action. I provided information regarding that whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing I reviewed the visit summary with Ms. Soukup, and asked if she had any questions and she stated that at this time which they stated that they did not. I encouraged them that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148. I thanked Ms. Soukup for her transparency and desire to support the staff in any training, guidance, or/and support that they may need to become an effective educator which in turn will promote quality care and education. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: KATHY WILLIS Operation Type: Center Case Number: 0624-050L Visit Date: 6/12/2024 Number Present: 134 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 09:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to conduct an investigation of a complaint, Case # 0624-050L of violations of childcare rules and regulation. I met with the Assistant Administrator Brenna Soukup and explained the reason for my visit. Ms Patti Fleig, Administrator was not present during the visit. Allegations: 1.) There is a concern that staff did not interact with children in a nurturing and caring manner. 2.) There is a concern that children are not being provided with developmentally appropriate activities. 3.) There is a concern that sanitation guidelines are not being followed. Interviews: Interviews were conducted with Ms. Soukup and she reported although she has no awareness of any incidents that have occurred where violations of childcare rules and regulations occurred. She did mention that as a new part of the Administrative Team that they are working on assisting teachers with training and guidance around appropriate tone and verbal interaction, classroom management skills, and a sanitation compliance plan. Ms. Fleig was called on the phone and we discussed the complaint and she mentioned that she recently had a staff member leave upset. She stated that she worked with a few classrooms and every day she would break down crying and she became overwhelmed and was mentored by the more seasoned teacher. Any time they provided guidance, and she would become very emotional. Ms. Fleig stated that this staff did not care for the last person that she worked with. Ms. Fleig stated that the last day she was reprimanded for sitting in a chair on the playground and she became upset and walked off the playground leaving the children out of compliance, so Ms. Fleig reported that she immediately went out to the playground to ensure staff child ratio was kept in compliance. When another staff was able to relieve Ms. Fleig, she went in and spoke to the staff person who was very emotional and gave her the rest of the day to gather herself. The following day the staff person did not show up to work and therefore Ms. Fleig and emailed and she sent back a resignation. She also stated that the staff person who was alleged to not comply with the Rules and Regulations has since given her two-week notice. Interview with all staff present, and their reports varied from hearing language that had tones that were not only loud but also demeaning to reports that they have not heard any concerning tone of voice or communication that was concerning. The staff that are on the Playground at the same time as the staff person who reportedly was not providing a nurturing environment in regard to her language skills consistently reported that the language was not always nurturing or caring with words like stupid and demeaning tones and talking about children negatively to other staff while the children are in hearing range. I thanked all staff for their input as the investigations purpose is to ensure compliance but also to equip the Administration with knowledge and tools to educate staff that may need additional assistance. After speaking with Ms. Fleig, I investigated the report of the children being left on the playground when the one staff, CG, got upset and walked off the playground to Ms. Fleig's office, the time elapsed was differently remembered by the staff left on the playground as more like 10-15 minutes in comparison to the just a small amount of elapsed time as reported by Ms. Fleig. I reinterviewed the staff that were on the playground during this time, and all reported a 10-to-15-minute amount of elapsed time. HH who was in the classroom at the time as the other caregiver reported that it was about 10 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. I asked HH did she notify someone that she was out of ratio and she stated they knew because she was in their office. Video was live stream and therefore I requested permission to view the video prior to observing the classrooms in person. Ms. Terri Flake, Chesterbrook Area Principal was contacted for this approval, and she stated that she would need to contact Ebony Jones, Regional Principal/Director for approval to observe via the live stream. About five minutes later I was notified that I was not allowed to view the live stream without permission from Chesterbrook’s Legal counsel. A walk through of the entire facility was conducted and there was no observation of children being cared for in a nurturing and caring environment during the observation. The children were participating in outdoor gross motor play, free play in their center areas, language activities, tummy time and floor play for the infants, and circle time that included not only language activities but math and science activities as well. Cots were all labeled with the children’s names, and it was reported that children lay on their assigned cots. Materials were monitored for Developmentally Appropriate, and all materials observed were developmentally appropriate. Documents Review: I asked to review the staff files and Ms. Soukup was unaware of the location of the files. Ms. Ida, Receptionist, was asked where the Staff Files were located, and she was unable to retrieve the key to obtain the files. While they were looking for the files, I observed a bottle of Zyrtec that was not kept under lock and key. Curriculum was reviewed and the program uses the Chesterbrook Curriculum, "Links to Learning", which doesn’t include ditto sheets or activities that are not developmentally appropriate. The following items were monitored during today’s visit Supervision, Staff/Child Ratios, Adequate and Approved Space, Permit Restrictions, and developmentally appropriate activities. Today there were One hundred and thirty-four (134) children present and twenty-four (24) teaching staff present. Based on the interviews, Allegations #1, where there was a concern that staff did not interact with children in a nurturing and caring manner was deemed substantiated as there was multiple staff reports that the staff, HH, would speak to the children with a loud demeaning tone and speak about other children to the other staff in front of them. Allegation #2, where there was a concern that the children are not being provided with developmentally appropriate activities was deemed not able to substantiate. No materials were found that were not appropriate for the children based on their age in each classroom space. I explained to the staff person who had observed ditto sheets that these could be used for children to draw upon or complete but that it would need to be the child’s choice and not be an activity where the children were sat down at the table all together and made to do the ditto sheet as if this occurred it would not be developmentally appropriate. Allegation #3, where there was a concern that sanitation guidelines are not being followed was deemed no substantiated as all cots were labeled with the children’s names and the report was that the children found their names and laid on their cots or were directed to their cots and that they had not placed children on other children’s cots. The following violations were cited and/or observed during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the Administrators office while the Assistant Administrator was looking for the key to open the staff file cabinet, I observed a bottle of Zyrtec. I picked up the bottle and it did have pills inside of the bottle. All non-prescription medications must be stored in a locked cabinet or locked container. 15A NCAC 18A .2820(d) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. One staff person, HH, was overheard by other staff, spoke to the children in her care in a harsh and belittling tone, calling the children stupid, speaking loudly at them giving directives and speaking about children in a negative manner to other staff in front of the child and/or other children. G.S. 110-91(10) 1043 All staff records, except financial records, were not made available for review. All staff files were in a file cabinet that was locked, and the Administrative Team was unable to locate the key in Ms. Fleig, Administrators, absence. G.S. 110-91( 9) 1756 Enhanced staff/child ratios and group sizes were not met. On either Tuesday June 4, 2024, or Wednesday June 5, 2024, a classroom serving 3-year-old children were on the playground for between 10 to 15 minutes without proper staff/child ratio being maintained. The staff/caregiver who was providing supervision of these children reported that the other staff/caregiver became upset and left the playground leaving her out of staff/child ratio. She stated that it was about 10 to 15 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. The staff/caregiver who remained with the children reported that she did not notify anyone because she went to the office therefore Administration was aware. 10A NCAC 09 .2818 A corrective action letter will need to be submitted with the name of the facility, date of the visit, date of the submission, item numbers of violation, how they violations were corrected and how these violations will be prevented in the future. These violations must be corrected immediately and a statement of correction must be submitted no later than June 26, 2024. A follow up visit may be conducted in the near future based on the outcome of today’s visit. Technical Assistance: I would encourage the management staff to have all staff to utilized the resources that are on the North Carolina Rated License Website, www.ncrlap.org, and review the available resources including Language for Learners, review NAEYC’s Developmentally Appropriate Practice information https://www.naeyc.org/resources/topics/dap and use the North Carolina Foundations for Early Learning and Development Foundations which provides guidelines for Development and Learning for North Carolina's children ages birth to 5-yrs old and includes goals, developmental indicators, and strategies in five developmental domains of Approaches to Play and Learning, Emotional and Social Development, Health and Physical Development, Language Development and Communication, and Cognitive Development found at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development. I also discussed with both the Assistant Administrator and the Regional Principal, Ebony, via a phone call that there seemed to be a lack of communication whereas when the Assistant Administrator arrived today after a medical leave that the Administrator was on vacation, and she had no knowledge of the incidents Ms. Fleig reported nor any information that she may have needed to be disseminated to her in her absence in order to effectively meet the needs of Center under her watch today. I recapped that Child Care facilities are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. After today's visit you compliance history is 84%. Failure to do so may result in the issuance of a provisional license or other administrative action. I provided information regarding that whenever there is a substantiation of the allegation it may result in an Administrative Action. If an Administrative Action is issued it will be a tool that will provide supports in an effort to ensure that incidents like this do not occur again and that the quality of care is increased in your program. In closing I reviewed the visit summary with Ms. Soukup, and asked if she had any questions and she stated that at this time which they stated that they did not. I encouraged them that if she has any questions or concerns to feel free to contact me at Kathy.Willis@dhhs.nc.gov or (704) 594-0148. I thanked Ms. Soukup for her transparency and desire to support the staff in any training, guidance, or/and support that they may need to become an effective educator which in turn will promote quality care and education. Kathy Twitty Willis, M.Ed. Child Care Consultant Division of Child Development and Early Education North Carolina Department of Health and Human Services PO Box 192 Mineral Springs, NC 28108 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 125 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance unannounced visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Ms. Patti Fleig assisted me with today's visit. Ms. Teri Flake, Support Principal for Chesterbrook Academy also was present and assisted. The center currently operates with a 4-star license, issued on September 17, 2021. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space and a capacity of 178 with an age range of 0-12 years old. We used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility is owned by SEG Inc. The owner is active, as of 08/15/94, in the NC Secretary of State database, ID 0350240. If any changes to the corporation need to be made or the church is incorporated, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The Fire and Sanitation inspections were completed within the required time frames and are documented on the Annual Compliance worksheet attached to today’s visit. Indoor Learning Environment: While walking through all the classrooms the staff/child ratio was observed and was in compliance. Of the twelve (12) classrooms observed all were in operation during today’s visit although the school age children had not arrived as school had not been dismissed. The children were participating in outdoor gross motor play, indoor center play, table time with manipulatives, art, music and the younger children were participating in diaper changing procedures, tummy time and infant feedings. Outdoor Learning Environment: There are three (3) outdoor learning environments. The area meets minimal requirements. Last year I had mentioned that looking at resources that included naturalizing the outdoor learning environment to Ms. Amanda, in ways to enhance the quality of these spaces. This year we spoke about the Naturalized Learning Initiative website that could also be a resource at https://naturalearning.org/. Transportation: It was reported that the facility currently does provide transportation. I monitored the vehicle today was a 2012 Chevy Heavy Duty 15 passenger vehicle, license plate CBD2233 was monitored. The vehicle had valid insurance and inspection as well as a current registration. We discussed the checklist for the transportation binder that could be beneficial and ensure that all records were present that needed to be monitored in one location. Staff Records: The Staff and Training Worksheets were monitored with all new staff files and 10 percent of existing staffs files reviewed. Children Records: A random sample of ten percent of files were selected to review. Program Records: I reviewed all the required records. I observed the current License, Summary of the Child Care Law poster (dated January 2021), Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facility handbook, Emergency Medical Care Plan (with all staff listed who preform listed duties), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and we reminded you that if there is only ever one staff person left on site the emergency contact person for this situation information must be posted on the parent board. All facility program records were found to be in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. We discussed that there were two days that were missing bread components. We also discussed the refrigerator in Space 1 where the infant children are located the refrigerator temperature was at 50 degree's. It was reported that this is an ongoing issue therefore the recommendation was made that a new unit be purchased in order to ensure compliance with both the requirements of Environmental Health and the Division of Child Development. The suggestion was also made that the kitchen refrigerator be turned down to ensure that it maintains the required degrees as it was observed at 46 degrees during today's visit. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. The following violations were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Of the eighteen children's records reviewed, one child's file did not have proof that the Summary of the Law was provided to them (see children's Records). GS 110-102 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In the kitchen the refrigerator temperature was at 46 degrees F and the Space 1 where the infant children were located the refrigerator was at 50 degrees F. The staff reported that this has been an ongoing issue with the small refrigerator as this was previously cited by Enviornmental Health. 15A NCAC 18A .2806(j)(2) 1030 Application for employment and date of birth was not on file for all staff. Of the six (6) files reviewed on staff did not have an application on file (see staff and training worksheet). .0302(d)(1)(A) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Of the six (6) staff files reviewed two (2) were required to have on-going training and did not have the required amount of training hours (see staff and training worksheet). .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .1101(a)(b) 1314 Emergency information did not name childs health care professional. Upon review of the children's files, of the eighteen (18) files were reviewed, there were two (2) children missing hospital information including either the preferred hospital or the phone number. (see children's Records). .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Upon review of the children's files, of the 18 files were reviewed, there were two children missing medicals and two children missing their immunization records (see children's Records). GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. On 04/26/23 the facility adopted a new Discipline Behavioral Policy and there was no statement on file verifying that the parent received the discipline policy and it had been explained to them. Upon review of the children's files, of the 18 files were reviewed, there were nine (9) children missing any documentation of any discipline policy (see children's Records). .1804(b) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Upon review of the children's files, of the 18 files were reviewed, there was one child missing proof that they had been notified in writing of the smoking and tobacco restrictions (see children's Records). .0604(j) 1873 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy. Of the six (6) staff files reviewed, one (1) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .0608 (d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Of the six (6) staff files reviewed there was one (1) staff how did not have the required training within the required time frame (see staff and training worksheet). .1102(g) All violations must be corrected immediately. A correction letter will be required to be submitted within 14 days. Please notate the specifics of “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Again, the corrections must be made immediately, and notification of the corrections can be postmarked no later that 03/26/2023. If the correction letter is not received within this time frame then a return visit will be made to verify corrections. Compliance History: North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Rated License: Today we reviewed the facility is in the Cohort 1 with the Prep year 06/27/2023 to 06/30/24 and assessments beginning 07/01/2024. We discussed prep year assessments and the benefit of using this as a teaching toll. We reviewed that the preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. In a previous email I had sahred that there were some preparation year ideas to consider related specifically to the program standards component of the Star Rated License including but not exclusive to: -Approaching this time as a learning process. There will always be things to work on, but make sure to acknowledge areas of strength along the way, communicate with others, ask questions, and be open to new or different ideas. -Always remember that you know the children and families and the program’s culture, current situations, priorities, and challenges. When considering the requirements, use your own expertise when deciding how best to focus time and energy. -Administrators Review Requirements •Be familiar with the NC Child Care Law and Rules that apply to your program. •Review the ECERS-R, ITERS-R, SACERS-U, and/or FCCERS-R for your setting. -Gather Resources •Look for assessment related resources at ncrlap.org •Have copies of the rating scales applicable to the age groups your program serves. •Seek out webinars and/or in-person trainings related to topics of interest. •Check out various provider resources and download NC's Foundations for Early Learning and Development at DCDEE's website: ncchildcare.ncdhhs.gov -Create a Plan of Action •Start a self-study process to become more familiar with the ERS or priority areas relevant to your program. •Brainstorm and collaborate with others about questions or current challenges you would like to address. -Reach Out •Share your ideas and needs with others that can help with resources of various types •Get your questions answered by contacting your local CCR&R or Partnership for Children, NCRLAP, or your program's DCDEE consultant depending on the topic areas. •Talk with your consultant about completing a prep year ERS assessment to get more information about current situations at your program. -Use staff meetings to discuss topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask everyone to share what strategies help, or which transitions take longer and why? -Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org including contact hour earning webinars and Thinking More worksheets for every rating scale. Engage to brainstorm, offer support and clarification, and set goals to help everyone become more familiar and confident with the assessment process. Allocate resources so they can focus on self-study as part of the workday. At this time the Administration reported that they will consider having the Prep Year assessments completed and will notify me if or when they are ready. At the close of the visit I asked the Administration had any questions or concerns. I shared if I could be of any assistance to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: KATHY WILLIS Operation Type: Center Case Number: Visit Date: 3/12/2024 Number Present: 125 Completed Date: 3/12/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my Annual Compliance unannounced visit was to monitor for compliance with applicable childcare requirements. Upon arrival the Ms. Patti Fleig assisted me with today's visit. Ms. Teri Flake, Support Principal for Chesterbrook Academy also was present and assisted. The center currently operates with a 4-star license, issued on September 17, 2021. The restrictions include daytime care only, meets enhanced ratios, meets enhanced space and a capacity of 178 with an age range of 0-12 years old. We used the Child Care Center Item Number Listing (DCD 0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility and the Annual Compliance Monitoring Checklist for Child Care Centers. Ownership: The facility is owned by SEG Inc. The owner is active, as of 08/15/94, in the NC Secretary of State database, ID 0350240. If any changes to the corporation need to be made or the church is incorporated, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. Inspections: The Fire and Sanitation inspections were completed within the required time frames and are documented on the Annual Compliance worksheet attached to today’s visit. Indoor Learning Environment: While walking through all the classrooms the staff/child ratio was observed and was in compliance. Of the twelve (12) classrooms observed all were in operation during today’s visit although the school age children had not arrived as school had not been dismissed. The children were participating in outdoor gross motor play, indoor center play, table time with manipulatives, art, music and the younger children were participating in diaper changing procedures, tummy time and infant feedings. Outdoor Learning Environment: There are three (3) outdoor learning environments. The area meets minimal requirements. Last year I had mentioned that looking at resources that included naturalizing the outdoor learning environment to Ms. Amanda, in ways to enhance the quality of these spaces. This year we spoke about the Naturalized Learning Initiative website that could also be a resource at https://naturalearning.org/. Transportation: It was reported that the facility currently does provide transportation. I monitored the vehicle today was a 2012 Chevy Heavy Duty 15 passenger vehicle, license plate CBD2233 was monitored. The vehicle had valid insurance and inspection as well as a current registration. We discussed the checklist for the transportation binder that could be beneficial and ensure that all records were present that needed to be monitored in one location. Staff Records: The Staff and Training Worksheets were monitored with all new staff files and 10 percent of existing staffs files reviewed. Children Records: A random sample of ten percent of files were selected to review. Program Records: I reviewed all the required records. I observed the current License, Summary of the Child Care Law poster (dated January 2021), Monthly Fire Drill Log & Quarterly Shelter-in-place/Lock down drill Log, Safe Pick-up, and Delivery Procedures that are the same as what is in the facility handbook, Emergency Medical Care Plan (with all staff listed who preform listed duties), Emergency Phone Numbers (recommended – by telephone) Weekly menu for meals and snacks posted where it can be seen by parents and food preparation staff, Tobacco Free Environment/Campus restriction poster/sticker posted at main entrance and we reminded you that if there is only ever one staff person left on site the emergency contact person for this situation information must be posted on the parent board. All facility program records were found to be in compliance. Nutrition: The facility was in compliance during today’s visit with Child Care Meal Patterns Requirements. We discussed that there were two days that were missing bread components. We also discussed the refrigerator in Space 1 where the infant children are located the refrigerator temperature was at 50 degree's. It was reported that this is an ongoing issue therefore the recommendation was made that a new unit be purchased in order to ensure compliance with both the requirements of Environmental Health and the Division of Child Development. The suggestion was also made that the kitchen refrigerator be turned down to ensure that it maintains the required degrees as it was observed at 46 degrees during today's visit. Weapons: Your facility reported that they were in compliance during today’s visit with Child Care Requirements regarding firearms. The following violations were observed today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Of the eighteen children's records reviewed, one child's file did not have proof that the Summary of the Law was provided to them (see children's Records). GS 110-102 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In the kitchen the refrigerator temperature was at 46 degrees F and the Space 1 where the infant children were located the refrigerator was at 50 degrees F. The staff reported that this has been an ongoing issue with the small refrigerator as this was previously cited by Enviornmental Health. 15A NCAC 18A .2806(j)(2) 1030 Application for employment and date of birth was not on file for all staff. Of the six (6) files reviewed on staff did not have an application on file (see staff and training worksheet). .0302(d)(1)(A) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Of the six (6) staff files reviewed two (2) were required to have on-going training and did not have the required amount of training hours (see staff and training worksheet). .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .1101(a)(b) 1314 Emergency information did not name childs health care professional. Upon review of the children's files, of the eighteen (18) files were reviewed, there were two (2) children missing hospital information including either the preferred hospital or the phone number. (see children's Records). .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Upon review of the children's files, of the 18 files were reviewed, there were two children missing medicals and two children missing their immunization records (see children's Records). GS 110-91(1);.0302(d)(2); .0304(g) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. On 04/26/23 the facility adopted a new Discipline Behavioral Policy and there was no statement on file verifying that the parent received the discipline policy and it had been explained to them. Upon review of the children's files, of the 18 files were reviewed, there were nine (9) children missing any documentation of any discipline policy (see children's Records). .1804(b) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Upon review of the children's files, of the 18 files were reviewed, there was one child missing proof that they had been notified in writing of the smoking and tobacco restrictions (see children's Records). .0604(j) 1873 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy. Of the six (6) staff files reviewed, one (1) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet). .0608 (d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Of the six (6) staff files reviewed there was one (1) staff how did not have the required training within the required time frame (see staff and training worksheet). .1102(g) All violations must be corrected immediately. A correction letter will be required to be submitted within 14 days. Please notate the specifics of “what, when, and where” of the corrective actions you have taken and how you will prevent reoccurrence. In the correction documentation (email or letter) please include the facility name, id number, date of the visit, date of the corrections and your signature (electronic is acceptable). Again, the corrections must be made immediately, and notification of the corrections can be postmarked no later that 03/26/2023. If the correction letter is not received within this time frame then a return visit will be made to verify corrections. Compliance History: North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Rated License: Today we reviewed the facility is in the Cohort 1 with the Prep year 06/27/2023 to 06/30/24 and assessments beginning 07/01/2024. We discussed prep year assessments and the benefit of using this as a teaching toll. We reviewed that the preparation year is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. In a previous email I had sahred that there were some preparation year ideas to consider related specifically to the program standards component of the Star Rated License including but not exclusive to: -Approaching this time as a learning process. There will always be things to work on, but make sure to acknowledge areas of strength along the way, communicate with others, ask questions, and be open to new or different ideas. -Always remember that you know the children and families and the program’s culture, current situations, priorities, and challenges. When considering the requirements, use your own expertise when deciding how best to focus time and energy. -Administrators Review Requirements •Be familiar with the NC Child Care Law and Rules that apply to your program. •Review the ECERS-R, ITERS-R, SACERS-U, and/or FCCERS-R for your setting. -Gather Resources •Look for assessment related resources at ncrlap.org •Have copies of the rating scales applicable to the age groups your program serves. •Seek out webinars and/or in-person trainings related to topics of interest. •Check out various provider resources and download NC's Foundations for Early Learning and Development at DCDEE's website: ncchildcare.ncdhhs.gov -Create a Plan of Action •Start a self-study process to become more familiar with the ERS or priority areas relevant to your program. •Brainstorm and collaborate with others about questions or current challenges you would like to address. -Reach Out •Share your ideas and needs with others that can help with resources of various types •Get your questions answered by contacting your local CCR&R or Partnership for Children, NCRLAP, or your program's DCDEE consultant depending on the topic areas. •Talk with your consultant about completing a prep year ERS assessment to get more information about current situations at your program. -Use staff meetings to discuss topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask everyone to share what strategies help, or which transitions take longer and why? -Support and encourage staff during a self-study process. Connect them with resources at ncrlap.org including contact hour earning webinars and Thinking More worksheets for every rating scale. Engage to brainstorm, offer support and clarification, and set goals to help everyone become more familiar and confident with the assessment process. Allocate resources so they can focus on self-study as part of the workday. At this time the Administration reported that they will consider having the Prep Year assessments completed and will notify me if or when they are ready. At the close of the visit I asked the Administration had any questions or concerns. I shared if I could be of any assistance to please feel free to contact me at (704) 594-0148 or kathy.willis@dhhs.nc.gov. Kathy Twitty Willis M.Ed. Child Care Consultant NCDHHS Division of Child Development and Early Education Regulatory Services Section PO Box 192 Mineral Springs NC 28108-0192 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: CHESTERBROOK ACADEMY Facility ID: 90000362 Consultant: TRACI J. MEYER Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 106 Completed Date: 11/8/2023 Age: From 0 To 5 Total Minutes: 245 Time In: 09:00 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an unannounced annual compliance visit. Upon arrival I was greeted by Vivianna, and stated the reason for the visit. P. Fleig, Director and Vivianna assisted me with today’s visit. Your program currently operates with a Four Star License effective 09/17/2021 The license was posted, with restrictions to: day time care, meeting enhanced ratios and enhanced space. I monitored the following items today: supervision, staff/child ratio, space capacity, licensed spaces, staff and children’s records, health, safety, and program records. The center's compliance history was reviewed with the operator. The program’s compliance history was 85% percent as of 11/8/2023. Ownership: The facility owner is SEG Inc. SoS ID # 0350240 which is current and active. If any changes to the ownership need to be made, you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The following items were monitored: Licensing Posted, Permit Restrictions, Staff/Child Ratio, Supervision, Specialized Trainings, CPR/First Aid certifications, ITS/SIDS certifications, Emergency Medical Care Plan, Storage of Hazardous Substances and Storage of Medication, Program Records, and General Safety. The following items above were found in compliance. The following inspections are below. • Fire Inspection was conducted on 7/13/2023. • Last fire drill was conducted on 10/31/2023. • The Sanitation Inspection was completed on 8/23/2023 with an Approved rating with 18 demerits. • Last Playground Inspection was conducted on 10/15/2023. The last Shelter in Place/Lockdown Drill was conducted on 10/30/2023 but was not listed on the Emergency Drill Log and was corrected by Ms. Fleig. The children were observed eating breakfast which consisted of blueberry muffins and milk which was on the Menu. They also were participating in circle time, teacher directed story time, tummy time, and five of the children were participating in an acting and dramatic play program offered by the facility. Program Records: We reviewed all the required records. Incident reports, incident logs, ERP, Daily attendance and all were in compliance. Transportation: Transportation was not monitored today. There were ten violations were observed today and five were corrected during the visit. The violations are as follows: Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. In Space #3 which serves toddlers the Caregiver did not help the child and/or have the child wash their hands after a diaper change. 15A NCAC 18A .2803(c)(2) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A, that provides care to infants the refrigerator maintained a temperature above 45 degrees, this was corrected during the visit. In Space 1B that cares for infants there was not a thermometer in the refrigerator 15A NCAC 18A .2806(j)(2) 604 Lavatories were not kept clean, in good repair and kept free of storage. In the lavatory shared by Space #5 and #6 which served toddlers and preschool age children, there was one toilet that had been inoperable for one week. The top of the tank was removed allowing access to the water and other plumbing pieces inside of the back of the toilet. 15A NCAC 18A .2818(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1B that cares for infants and Space 5 a space that cares for children under three years old, there were broken locks and plastic bags accessible. .0604(q) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members A.M. and J.H. did not have six hours of required training within the first two weeks of employment. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The Administration did complete the required drills, but documentation was not completed. .0604(u);.0302(d)(8) 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 staff member did not have documentation of reviewing the policy. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space # 7 serving preschool age children there was a medication that did not have the Medication Administration Permission Form and record of use. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff Members H.S. and J.H did not have record of or a completed health questionnaire in their files. .0701(d) On or before 11/22/2023 I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Traci Meyer Carpenter Child Care Consultant PO Box 364 Matthews, NC 28105 OR Traci.Meyer@dhhs.nc.gov 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 (75%). Any violation (s) documented may impact the compliance history score. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent (81%) prior to today’s visit. The compliance history could be impacted after today’s visit. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Rated License •Chesterbrook Academy is in cohort one , with the preparation year from July 1st , 2023 to June 30th, 2024 ,and the assessment year from July 1st, 2024 to June 30th, 2025. Technical Assistance •There is a new Summary of the Law on the DCDEE website that should be posted on the information board. •There are new NC Sanitation Laws that have been implemented, please reach out if you have any questions. •Reach out to your local CCRI and Partnership for Children for assistance with the Rated License process. •When on-boarding new employees consider a check list that shows each form that is required by the DCDEE and your corporate office, making sure that the forms are filled out in their entirety. •Infant Feeding forms need to be filled out on both sides and placed in an area that is easy for the caregiver to locate. •Playgrounds should be kept free of trash. before playground time for the children do a quick check to make sure the area is trash free. We jointly reviewed the visit summary and documentation of my findings and violations with you, Ms. Fleig and Vivianna. I encouraged you to ask any questions and you stated you had none. Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov to get the latest updates. There are two trainings listed on the “What’s New” tab on the DCDEE website both occurring in November. The first is “Unpacking the ITERS-R” which is on-demand and the second is a webinar “Creating Supportive Environments” on November 16th. If you have questions or need further assistance, please contact me at 704-594-0041 or via email at Traci.Meyer@dhhs.nc.gov . Thank you for your assistance during today’s visit. Traci Meyer Carpenter 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.