10A NCAC 09 .0509 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 48 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 14, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Hardwick, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed in free choice activities including reading books in the cozy area, working with manipulative sets at the child sized tables, and completing puzzles. At 10:00 A.M., this group transitioned to one of the fenced in playgrounds, where they engaged in sand play and gross motor activities. In Space #2a, children were observed getting assistance from staff with putting on jackets in preparation to go outdoors. They went to a separate fenced in playground, where they used push and pull toys as well as small balls. Infants in Space #2b were observed in free play activities; staff members used language to enhance children’s play and responded warmly to them. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a large group activity during which they discussed patterns using pictures of colored apples. Children enrolled in Space #4 were observed in free choice activities including building a zoo out of blocks, setting the table and feeding baby dolls in the dramatic play center, and working with counting bears. At 11:00 A.M., some local firemen came to the center with two trucks, and children from Spaces #3 and 4 went outside to the parking lot to see the trucks and hear a presentation from the firemen. Permission to play outside the fenced area was observed on file as required. Lunch served consisted of hamburger tacos on tortillas, refried beans, pineapple and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. A hole was observed in one of the bathroom doors in Space #5. 15A NCAC 18A .2825(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. Several plastic grocery bags were observed under the diaper changing table in Space #2b, accessible to infants. REPEATED .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members were not present during the annual review of the EMC plan. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Four staff members were not present during the annual review of the EPR plan. .0607(f) A compliance letter including detailed information about how all violations have been corrected must be received by October 29, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Sanitation rules require that all doors, walls and ceilings are clean and in good repair. Today you stated you were aware of the hole in the door in Space #5, and have put in a request for repair. Please send a picture after repair or replacement is complete to verify compliance. As discussed during the Routine Unannounced visit on May 8, 2024, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Today the plastic grocery bags in Space #2b were moved to a high shelf, however I urged you to conduct “pop in” classroom inspections to check for safety hazards like these on a regular basis. Technical assistance was provided today regarding reviewing the Emergency Preparedness and Response plan as well as the Emergency Medical Care plan with staff annually. As discussed, if staff members are not present on the date of your annual review, you must follow up with them to ensure the updated plans are reviewed with each current staff member. Today you reviewed each plan with the four staff members who were not present during the review conducted September 16, 2024. Technical Assistance Technical assistance was also provided today regarding gross motor materials, as you stated you have had to throw out some broken ones recently and have ordered some new ones. Child Care Rule 10A NCAC 09 .0509(4) states, “developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development.” This may include a combination of portable materials and stationary equipment, and enough opportunities should be available to limit competition between children over materials and equipment. Today I suggested adding more balls, hula hoops, riding toys, catch and toss games, balancing stones or other types of portable materials to supplement your playground equipment. Be mindful of toys which children prefer and try to buy multiples when possible. Rated License Information It was verified today that you are maintaining compliance with star rated license standards earned during your last reassessment. As discussed today, the “hold harmless” state of three-year reassessments was extended to allow time for new rules determining how stars are earned to be written and implemented. This means a reassessment will not be conducted according to the timelines previously discussed, however you may request one voluntarily at any time. New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Please note the Infant Toddler Environment Rating Scales (ITERS) and the Early Childhood Environment Rating Scales (ECERS) assessments have been updated to the third editions, and the new editions will be used for rated license reassessments conducted after February 1, 2025 when you select the pathway that includes program assessment. The School Age Care Environment Rating Scale-Updated (SACERS-U) will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding Education standards, remember to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders You must obtain an approved sanitation rating by November 16, 2024 and an approved fire inspection by December 24, 2024. I urge you to request these now to avoid any delays; remember to send a copy of your fire inspection within one week as required. The criminal records qualification letter for R. Cartrette expires November 20, 2024. I suggest she submit information for requalification as soon as possible to ensure a new letter is received prior to the expiration date. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 48 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 14, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Hardwick, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed in free choice activities including reading books in the cozy area, working with manipulative sets at the child sized tables, and completing puzzles. At 10:00 A.M., this group transitioned to one of the fenced in playgrounds, where they engaged in sand play and gross motor activities. In Space #2a, children were observed getting assistance from staff with putting on jackets in preparation to go outdoors. They went to a separate fenced in playground, where they used push and pull toys as well as small balls. Infants in Space #2b were observed in free play activities; staff members used language to enhance children’s play and responded warmly to them. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a large group activity during which they discussed patterns using pictures of colored apples. Children enrolled in Space #4 were observed in free choice activities including building a zoo out of blocks, setting the table and feeding baby dolls in the dramatic play center, and working with counting bears. At 11:00 A.M., some local firemen came to the center with two trucks, and children from Spaces #3 and 4 went outside to the parking lot to see the trucks and hear a presentation from the firemen. Permission to play outside the fenced area was observed on file as required. Lunch served consisted of hamburger tacos on tortillas, refried beans, pineapple and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. A hole was observed in one of the bathroom doors in Space #5. 15A NCAC 18A .2825(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. Several plastic grocery bags were observed under the diaper changing table in Space #2b, accessible to infants. REPEATED .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members were not present during the annual review of the EMC plan. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Four staff members were not present during the annual review of the EPR plan. .0607(f) A compliance letter including detailed information about how all violations have been corrected must be received by October 29, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Sanitation rules require that all doors, walls and ceilings are clean and in good repair. Today you stated you were aware of the hole in the door in Space #5, and have put in a request for repair. Please send a picture after repair or replacement is complete to verify compliance. As discussed during the Routine Unannounced visit on May 8, 2024, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Today the plastic grocery bags in Space #2b were moved to a high shelf, however I urged you to conduct “pop in” classroom inspections to check for safety hazards like these on a regular basis. Technical assistance was provided today regarding reviewing the Emergency Preparedness and Response plan as well as the Emergency Medical Care plan with staff annually. As discussed, if staff members are not present on the date of your annual review, you must follow up with them to ensure the updated plans are reviewed with each current staff member. Today you reviewed each plan with the four staff members who were not present during the review conducted September 16, 2024. Technical Assistance Technical assistance was also provided today regarding gross motor materials, as you stated you have had to throw out some broken ones recently and have ordered some new ones. Child Care Rule 10A NCAC 09 .0509(4) states, “developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development.” This may include a combination of portable materials and stationary equipment, and enough opportunities should be available to limit competition between children over materials and equipment. Today I suggested adding more balls, hula hoops, riding toys, catch and toss games, balancing stones or other types of portable materials to supplement your playground equipment. Be mindful of toys which children prefer and try to buy multiples when possible. Rated License Information It was verified today that you are maintaining compliance with star rated license standards earned during your last reassessment. As discussed today, the “hold harmless” state of three-year reassessments was extended to allow time for new rules determining how stars are earned to be written and implemented. This means a reassessment will not be conducted according to the timelines previously discussed, however you may request one voluntarily at any time. New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Please note the Infant Toddler Environment Rating Scales (ITERS) and the Early Childhood Environment Rating Scales (ECERS) assessments have been updated to the third editions, and the new editions will be used for rated license reassessments conducted after February 1, 2025 when you select the pathway that includes program assessment. The School Age Care Environment Rating Scale-Updated (SACERS-U) will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding Education standards, remember to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders You must obtain an approved sanitation rating by November 16, 2024 and an approved fire inspection by December 24, 2024. I urge you to request these now to avoid any delays; remember to send a copy of your fire inspection within one week as required. The criminal records qualification letter for R. Cartrette expires November 20, 2024. I suggest she submit information for requalification as soon as possible to ensure a new letter is received prior to the expiration date. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 48 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 14, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Hardwick, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed in free choice activities including reading books in the cozy area, working with manipulative sets at the child sized tables, and completing puzzles. At 10:00 A.M., this group transitioned to one of the fenced in playgrounds, where they engaged in sand play and gross motor activities. In Space #2a, children were observed getting assistance from staff with putting on jackets in preparation to go outdoors. They went to a separate fenced in playground, where they used push and pull toys as well as small balls. Infants in Space #2b were observed in free play activities; staff members used language to enhance children’s play and responded warmly to them. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a large group activity during which they discussed patterns using pictures of colored apples. Children enrolled in Space #4 were observed in free choice activities including building a zoo out of blocks, setting the table and feeding baby dolls in the dramatic play center, and working with counting bears. At 11:00 A.M., some local firemen came to the center with two trucks, and children from Spaces #3 and 4 went outside to the parking lot to see the trucks and hear a presentation from the firemen. Permission to play outside the fenced area was observed on file as required. Lunch served consisted of hamburger tacos on tortillas, refried beans, pineapple and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. A hole was observed in one of the bathroom doors in Space #5. 15A NCAC 18A .2825(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. Several plastic grocery bags were observed under the diaper changing table in Space #2b, accessible to infants. REPEATED .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members were not present during the annual review of the EMC plan. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Four staff members were not present during the annual review of the EPR plan. .0607(f) A compliance letter including detailed information about how all violations have been corrected must be received by October 29, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Sanitation rules require that all doors, walls and ceilings are clean and in good repair. Today you stated you were aware of the hole in the door in Space #5, and have put in a request for repair. Please send a picture after repair or replacement is complete to verify compliance. As discussed during the Routine Unannounced visit on May 8, 2024, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Today the plastic grocery bags in Space #2b were moved to a high shelf, however I urged you to conduct “pop in” classroom inspections to check for safety hazards like these on a regular basis. Technical assistance was provided today regarding reviewing the Emergency Preparedness and Response plan as well as the Emergency Medical Care plan with staff annually. As discussed, if staff members are not present on the date of your annual review, you must follow up with them to ensure the updated plans are reviewed with each current staff member. Today you reviewed each plan with the four staff members who were not present during the review conducted September 16, 2024. Technical Assistance Technical assistance was also provided today regarding gross motor materials, as you stated you have had to throw out some broken ones recently and have ordered some new ones. Child Care Rule 10A NCAC 09 .0509(4) states, “developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development.” This may include a combination of portable materials and stationary equipment, and enough opportunities should be available to limit competition between children over materials and equipment. Today I suggested adding more balls, hula hoops, riding toys, catch and toss games, balancing stones or other types of portable materials to supplement your playground equipment. Be mindful of toys which children prefer and try to buy multiples when possible. Rated License Information It was verified today that you are maintaining compliance with star rated license standards earned during your last reassessment. As discussed today, the “hold harmless” state of three-year reassessments was extended to allow time for new rules determining how stars are earned to be written and implemented. This means a reassessment will not be conducted according to the timelines previously discussed, however you may request one voluntarily at any time. New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Please note the Infant Toddler Environment Rating Scales (ITERS) and the Early Childhood Environment Rating Scales (ECERS) assessments have been updated to the third editions, and the new editions will be used for rated license reassessments conducted after February 1, 2025 when you select the pathway that includes program assessment. The School Age Care Environment Rating Scale-Updated (SACERS-U) will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding Education standards, remember to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders You must obtain an approved sanitation rating by November 16, 2024 and an approved fire inspection by December 24, 2024. I urge you to request these now to avoid any delays; remember to send a copy of your fire inspection within one week as required. The criminal records qualification letter for R. Cartrette expires November 20, 2024. I suggest she submit information for requalification as soon as possible to ensure a new letter is received prior to the expiration date. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 10/15/2024 Number Present: 48 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 165 Time In: 09:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 14, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Hardwick, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed in free choice activities including reading books in the cozy area, working with manipulative sets at the child sized tables, and completing puzzles. At 10:00 A.M., this group transitioned to one of the fenced in playgrounds, where they engaged in sand play and gross motor activities. In Space #2a, children were observed getting assistance from staff with putting on jackets in preparation to go outdoors. They went to a separate fenced in playground, where they used push and pull toys as well as small balls. Infants in Space #2b were observed in free play activities; staff members used language to enhance children’s play and responded warmly to them. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a large group activity during which they discussed patterns using pictures of colored apples. Children enrolled in Space #4 were observed in free choice activities including building a zoo out of blocks, setting the table and feeding baby dolls in the dramatic play center, and working with counting bears. At 11:00 A.M., some local firemen came to the center with two trucks, and children from Spaces #3 and 4 went outside to the parking lot to see the trucks and hear a presentation from the firemen. Permission to play outside the fenced area was observed on file as required. Lunch served consisted of hamburger tacos on tortillas, refried beans, pineapple and milk. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. A hole was observed in one of the bathroom doors in Space #5. 15A NCAC 18A .2825(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. Several plastic grocery bags were observed under the diaper changing table in Space #2b, accessible to infants. REPEATED .0604(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four staff members were not present during the annual review of the EMC plan. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Four staff members were not present during the annual review of the EPR plan. .0607(f) A compliance letter including detailed information about how all violations have been corrected must be received by October 29, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Sanitation rules require that all doors, walls and ceilings are clean and in good repair. Today you stated you were aware of the hole in the door in Space #5, and have put in a request for repair. Please send a picture after repair or replacement is complete to verify compliance. As discussed during the Routine Unannounced visit on May 8, 2024, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Today the plastic grocery bags in Space #2b were moved to a high shelf, however I urged you to conduct “pop in” classroom inspections to check for safety hazards like these on a regular basis. Technical assistance was provided today regarding reviewing the Emergency Preparedness and Response plan as well as the Emergency Medical Care plan with staff annually. As discussed, if staff members are not present on the date of your annual review, you must follow up with them to ensure the updated plans are reviewed with each current staff member. Today you reviewed each plan with the four staff members who were not present during the review conducted September 16, 2024. Technical Assistance Technical assistance was also provided today regarding gross motor materials, as you stated you have had to throw out some broken ones recently and have ordered some new ones. Child Care Rule 10A NCAC 09 .0509(4) states, “developmentally appropriate equipment and materials shall be provided for a variety of outdoor activities that allow for active play and large muscle development.” This may include a combination of portable materials and stationary equipment, and enough opportunities should be available to limit competition between children over materials and equipment. Today I suggested adding more balls, hula hoops, riding toys, catch and toss games, balancing stones or other types of portable materials to supplement your playground equipment. Be mindful of toys which children prefer and try to buy multiples when possible. Rated License Information It was verified today that you are maintaining compliance with star rated license standards earned during your last reassessment. As discussed today, the “hold harmless” state of three-year reassessments was extended to allow time for new rules determining how stars are earned to be written and implemented. This means a reassessment will not be conducted according to the timelines previously discussed, however you may request one voluntarily at any time. New rules are expected to include different pathways towards earning stars, so I urge you to review any information shared to prepare for the changes. Please note the Infant Toddler Environment Rating Scales (ITERS) and the Early Childhood Environment Rating Scales (ECERS) assessments have been updated to the third editions, and the new editions will be used for rated license reassessments conducted after February 1, 2025 when you select the pathway that includes program assessment. The School Age Care Environment Rating Scale-Updated (SACERS-U) will continue to be used in school age classrooms. You may find more information regarding the third editions including training materials and how to purchase at https://ncrlap.org/Resources/pages/get-ready-for-3s/. Regarding Education standards, remember to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders You must obtain an approved sanitation rating by November 16, 2024 and an approved fire inspection by December 24, 2024. I urge you to request these now to avoid any delays; remember to send a copy of your fire inspection within one week as required. The criminal records qualification letter for R. Cartrette expires November 20, 2024. I suggest she submit information for requalification as soon as possible to ensure a new letter is received prior to the expiration date. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 44 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 6, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 85%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed singing songs with staff members as they waited for the completion of toileting and handwashing routines prior to going outside. While outside, they played with sand toys and observed lizards. In Space #2a, two children were observed inside with one caregiver, while the other four played outside in Outdoor Space #1a with another caregiver. Caregivers brought different children inside as needed to change diapers while still maintaining ratios. Infants in Space #2b were observed in play activities with both of their caregivers, including using busy boxes and rattles. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in free choice activities including working with playdough, playing with dolls and working with alphabet blocks. The lead teacher assisted children individually with Mother’s Day projects as well. Children enrolled in Space #4 were observed in Outdoor Space #2, playing with balls, hula hoops and frisbees. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. After free choice and outdoor play activities, staff members were observed leading transition activities such as singing songs and reading books while children waited for lunch to be served. Lunch consisted of ham, rice, cabbage, potato salad and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. New staff members have not been hired since the Annual Compliance visit. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. At least 10 exposed, rusty screws, nails and staples were observed on the wooden ramps leading to the playgrounds used by toddlers, children two to three years of age, and preschool children. REPEATED .0601(c) 847 Parent's medication authorization did not include required information. Authorizations for administration of several over-the-counter medications and one prescription medication observed in Space #2b did not have complete instructions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken plastic tubs were observed on two different playgrounds today. 10A NCAC 09 .0604(p) 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. Plastic grocery bags were observed within reach of children under three years of age in Space #1. .0604(q) A compliance letter including detailed information about how all violations have been corrected must be received by May 22, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding medication instructions and permission forms. I strongly urged you to train staff members to review permission forms to ensure instructions are complete and the correct permission form is used for the type of medication. As discussed, the form for topical ointments and toothpaste should not be used for other types of medication including gas drops and teething tablets, as instructions would not be complete. In addition, when parents note that medication should be administered “as needed,” it needs to list the symptoms for staff to look for, such as “as needed for wheezing, coughing and shortness of breath.” Ensuring staff members have complete instructions for medication administration will not only keep children safe but protect you from liability. Regarding the exposed nails, staples and screws on the playgrounds, you stated you were aware that repairs were needed, and it was noted on the playground inspections observed today. You stated there had been plans for someone to come make repairs this week, however he got sick. Today I advised you to use plastic tarps or “Gorilla” tape to at least cover the hazards and make them inaccessible until they can be repaired. As discussed, when you notice hazards which cannot be quickly repaired moving forward, I urge you to make the area or the hazards inaccessible to children to avoid injury until permanent repairs can be made. Please send pictures showing repairs to verify compliance. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris and broken equipment such as plastic toys or storage bins shall be removed and disposed of prior to children entering the outdoor area to avoid potential injuries caused by cracked plastic. In addition, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Technical Assistance Technical assistance was provided today regarding transitioning from lunch to rest time routines. As discussed, staff members should divide duties to ensure one of them is engaging children who have finished eating in some type of transition activity, while the other can clean or complete routines such as diaper changes. Today I suggested reading a book, singing songs, doing finger plays or doing a movement activity to “get the wiggles out” prior to asking children to go to their cots. You may find a nursery rhyme to sing each day during the transition to rest time. “Twinkle, Twinkle Little Star” works great, or you can create a naptime song. The Center on the Social and Emotional Foundations for Early Learning has many awesome transition activities available. One naptime transition activity is to incorporate a flash light leading each child to their cot. Decorate the flashlight and make it a quiet game of “follow the light quiet as a mouse.” Reading a naptime story to the entire class works great too! Practicing deep breathing, muscle relaxation, or guided imagery are also excellent transition activities. As discussed, turning on the rest time music or dimming the lights as soon as you can will also be a signal to children that it is time to transition to rest. Technical assistance was also provided today regarding some Environment Rating Scales requirements. As discussed, gross motor equipment with a fall height of 18 inches or more must have sufficient, resilient surfacing under and around it, regardless of whether it is movable or not. In addition, I suggested you inventory the block areas in the preschool classrooms to ensure they are large enough for 3 children to build sizeable structures (6X9 ft) and have enough blocks for 3 children to build sizeable structures without competition over materials. You may review the additional notes at www.ncrlap.org for specific numbers and types of blocks. Block areas should consist of blocks and small accessories such as vehicles, people, animals, and street signs only. Today I suggested moving larger vehicles which may disrupt block play to the toddler classrooms or the outdoor areas as they can be used as push toys. Rated License Information As discussed during the Annual Compliance visit, your facility was assigned to “Cohort 2” in the cohort model of resuming rated license reassessments. Today I reminded you that your planning/preparation year runs July 1, 2024-June 30, 2025, and a full reassessment will be required between July 1, 2025-June 30, 2026. As discussed, you may still request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP if you would like some practice, and/or you will also have the option to request an ERS assessment during your planning year (I will request a window for you). The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. I urged you again today to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. As your enrollment has increased slightly, new teachers create WORKS accounts, apply for teacher positions, and submit official transcripts as needed. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 44 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 6, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 85%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed singing songs with staff members as they waited for the completion of toileting and handwashing routines prior to going outside. While outside, they played with sand toys and observed lizards. In Space #2a, two children were observed inside with one caregiver, while the other four played outside in Outdoor Space #1a with another caregiver. Caregivers brought different children inside as needed to change diapers while still maintaining ratios. Infants in Space #2b were observed in play activities with both of their caregivers, including using busy boxes and rattles. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in free choice activities including working with playdough, playing with dolls and working with alphabet blocks. The lead teacher assisted children individually with Mother’s Day projects as well. Children enrolled in Space #4 were observed in Outdoor Space #2, playing with balls, hula hoops and frisbees. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. After free choice and outdoor play activities, staff members were observed leading transition activities such as singing songs and reading books while children waited for lunch to be served. Lunch consisted of ham, rice, cabbage, potato salad and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. New staff members have not been hired since the Annual Compliance visit. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. At least 10 exposed, rusty screws, nails and staples were observed on the wooden ramps leading to the playgrounds used by toddlers, children two to three years of age, and preschool children. REPEATED .0601(c) 847 Parent's medication authorization did not include required information. Authorizations for administration of several over-the-counter medications and one prescription medication observed in Space #2b did not have complete instructions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken plastic tubs were observed on two different playgrounds today. 10A NCAC 09 .0604(p) 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. Plastic grocery bags were observed within reach of children under three years of age in Space #1. .0604(q) A compliance letter including detailed information about how all violations have been corrected must be received by May 22, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding medication instructions and permission forms. I strongly urged you to train staff members to review permission forms to ensure instructions are complete and the correct permission form is used for the type of medication. As discussed, the form for topical ointments and toothpaste should not be used for other types of medication including gas drops and teething tablets, as instructions would not be complete. In addition, when parents note that medication should be administered “as needed,” it needs to list the symptoms for staff to look for, such as “as needed for wheezing, coughing and shortness of breath.” Ensuring staff members have complete instructions for medication administration will not only keep children safe but protect you from liability. Regarding the exposed nails, staples and screws on the playgrounds, you stated you were aware that repairs were needed, and it was noted on the playground inspections observed today. You stated there had been plans for someone to come make repairs this week, however he got sick. Today I advised you to use plastic tarps or “Gorilla” tape to at least cover the hazards and make them inaccessible until they can be repaired. As discussed, when you notice hazards which cannot be quickly repaired moving forward, I urge you to make the area or the hazards inaccessible to children to avoid injury until permanent repairs can be made. Please send pictures showing repairs to verify compliance. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris and broken equipment such as plastic toys or storage bins shall be removed and disposed of prior to children entering the outdoor area to avoid potential injuries caused by cracked plastic. In addition, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Technical Assistance Technical assistance was provided today regarding transitioning from lunch to rest time routines. As discussed, staff members should divide duties to ensure one of them is engaging children who have finished eating in some type of transition activity, while the other can clean or complete routines such as diaper changes. Today I suggested reading a book, singing songs, doing finger plays or doing a movement activity to “get the wiggles out” prior to asking children to go to their cots. You may find a nursery rhyme to sing each day during the transition to rest time. “Twinkle, Twinkle Little Star” works great, or you can create a naptime song. The Center on the Social and Emotional Foundations for Early Learning has many awesome transition activities available. One naptime transition activity is to incorporate a flash light leading each child to their cot. Decorate the flashlight and make it a quiet game of “follow the light quiet as a mouse.” Reading a naptime story to the entire class works great too! Practicing deep breathing, muscle relaxation, or guided imagery are also excellent transition activities. As discussed, turning on the rest time music or dimming the lights as soon as you can will also be a signal to children that it is time to transition to rest. Technical assistance was also provided today regarding some Environment Rating Scales requirements. As discussed, gross motor equipment with a fall height of 18 inches or more must have sufficient, resilient surfacing under and around it, regardless of whether it is movable or not. In addition, I suggested you inventory the block areas in the preschool classrooms to ensure they are large enough for 3 children to build sizeable structures (6X9 ft) and have enough blocks for 3 children to build sizeable structures without competition over materials. You may review the additional notes at www.ncrlap.org for specific numbers and types of blocks. Block areas should consist of blocks and small accessories such as vehicles, people, animals, and street signs only. Today I suggested moving larger vehicles which may disrupt block play to the toddler classrooms or the outdoor areas as they can be used as push toys. Rated License Information As discussed during the Annual Compliance visit, your facility was assigned to “Cohort 2” in the cohort model of resuming rated license reassessments. Today I reminded you that your planning/preparation year runs July 1, 2024-June 30, 2025, and a full reassessment will be required between July 1, 2025-June 30, 2026. As discussed, you may still request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP if you would like some practice, and/or you will also have the option to request an ERS assessment during your planning year (I will request a window for you). The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. I urged you again today to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. As your enrollment has increased slightly, new teachers create WORKS accounts, apply for teacher positions, and submit official transcripts as needed. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 44 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 6, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 85%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed singing songs with staff members as they waited for the completion of toileting and handwashing routines prior to going outside. While outside, they played with sand toys and observed lizards. In Space #2a, two children were observed inside with one caregiver, while the other four played outside in Outdoor Space #1a with another caregiver. Caregivers brought different children inside as needed to change diapers while still maintaining ratios. Infants in Space #2b were observed in play activities with both of their caregivers, including using busy boxes and rattles. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in free choice activities including working with playdough, playing with dolls and working with alphabet blocks. The lead teacher assisted children individually with Mother’s Day projects as well. Children enrolled in Space #4 were observed in Outdoor Space #2, playing with balls, hula hoops and frisbees. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. After free choice and outdoor play activities, staff members were observed leading transition activities such as singing songs and reading books while children waited for lunch to be served. Lunch consisted of ham, rice, cabbage, potato salad and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. New staff members have not been hired since the Annual Compliance visit. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. At least 10 exposed, rusty screws, nails and staples were observed on the wooden ramps leading to the playgrounds used by toddlers, children two to three years of age, and preschool children. REPEATED .0601(c) 847 Parent's medication authorization did not include required information. Authorizations for administration of several over-the-counter medications and one prescription medication observed in Space #2b did not have complete instructions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken plastic tubs were observed on two different playgrounds today. 10A NCAC 09 .0604(p) 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. Plastic grocery bags were observed within reach of children under three years of age in Space #1. .0604(q) A compliance letter including detailed information about how all violations have been corrected must be received by May 22, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding medication instructions and permission forms. I strongly urged you to train staff members to review permission forms to ensure instructions are complete and the correct permission form is used for the type of medication. As discussed, the form for topical ointments and toothpaste should not be used for other types of medication including gas drops and teething tablets, as instructions would not be complete. In addition, when parents note that medication should be administered “as needed,” it needs to list the symptoms for staff to look for, such as “as needed for wheezing, coughing and shortness of breath.” Ensuring staff members have complete instructions for medication administration will not only keep children safe but protect you from liability. Regarding the exposed nails, staples and screws on the playgrounds, you stated you were aware that repairs were needed, and it was noted on the playground inspections observed today. You stated there had been plans for someone to come make repairs this week, however he got sick. Today I advised you to use plastic tarps or “Gorilla” tape to at least cover the hazards and make them inaccessible until they can be repaired. As discussed, when you notice hazards which cannot be quickly repaired moving forward, I urge you to make the area or the hazards inaccessible to children to avoid injury until permanent repairs can be made. Please send pictures showing repairs to verify compliance. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris and broken equipment such as plastic toys or storage bins shall be removed and disposed of prior to children entering the outdoor area to avoid potential injuries caused by cracked plastic. In addition, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Technical Assistance Technical assistance was provided today regarding transitioning from lunch to rest time routines. As discussed, staff members should divide duties to ensure one of them is engaging children who have finished eating in some type of transition activity, while the other can clean or complete routines such as diaper changes. Today I suggested reading a book, singing songs, doing finger plays or doing a movement activity to “get the wiggles out” prior to asking children to go to their cots. You may find a nursery rhyme to sing each day during the transition to rest time. “Twinkle, Twinkle Little Star” works great, or you can create a naptime song. The Center on the Social and Emotional Foundations for Early Learning has many awesome transition activities available. One naptime transition activity is to incorporate a flash light leading each child to their cot. Decorate the flashlight and make it a quiet game of “follow the light quiet as a mouse.” Reading a naptime story to the entire class works great too! Practicing deep breathing, muscle relaxation, or guided imagery are also excellent transition activities. As discussed, turning on the rest time music or dimming the lights as soon as you can will also be a signal to children that it is time to transition to rest. Technical assistance was also provided today regarding some Environment Rating Scales requirements. As discussed, gross motor equipment with a fall height of 18 inches or more must have sufficient, resilient surfacing under and around it, regardless of whether it is movable or not. In addition, I suggested you inventory the block areas in the preschool classrooms to ensure they are large enough for 3 children to build sizeable structures (6X9 ft) and have enough blocks for 3 children to build sizeable structures without competition over materials. You may review the additional notes at www.ncrlap.org for specific numbers and types of blocks. Block areas should consist of blocks and small accessories such as vehicles, people, animals, and street signs only. Today I suggested moving larger vehicles which may disrupt block play to the toddler classrooms or the outdoor areas as they can be used as push toys. Rated License Information As discussed during the Annual Compliance visit, your facility was assigned to “Cohort 2” in the cohort model of resuming rated license reassessments. Today I reminded you that your planning/preparation year runs July 1, 2024-June 30, 2025, and a full reassessment will be required between July 1, 2025-June 30, 2026. As discussed, you may still request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP if you would like some practice, and/or you will also have the option to request an ERS assessment during your planning year (I will request a window for you). The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. I urged you again today to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. As your enrollment has increased slightly, new teachers create WORKS accounts, apply for teacher positions, and submit official transcripts as needed. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 5/8/2024 Number Present: 44 Completed Date: 5/8/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 09:50 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on May 6, 2024. The last annual compliance visit was conducted November 1, 2023. A Superior sanitation rating was earned November 16, 2023, and a fire inspection was conducted December 24, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 85%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed singing songs with staff members as they waited for the completion of toileting and handwashing routines prior to going outside. While outside, they played with sand toys and observed lizards. In Space #2a, two children were observed inside with one caregiver, while the other four played outside in Outdoor Space #1a with another caregiver. Caregivers brought different children inside as needed to change diapers while still maintaining ratios. Infants in Space #2b were observed in play activities with both of their caregivers, including using busy boxes and rattles. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in free choice activities including working with playdough, playing with dolls and working with alphabet blocks. The lead teacher assisted children individually with Mother’s Day projects as well. Children enrolled in Space #4 were observed in Outdoor Space #2, playing with balls, hula hoops and frisbees. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. After free choice and outdoor play activities, staff members were observed leading transition activities such as singing songs and reading books while children waited for lunch to be served. Lunch consisted of ham, rice, cabbage, potato salad and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. New staff members have not been hired since the Annual Compliance visit. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. At least 10 exposed, rusty screws, nails and staples were observed on the wooden ramps leading to the playgrounds used by toddlers, children two to three years of age, and preschool children. REPEATED .0601(c) 847 Parent's medication authorization did not include required information. Authorizations for administration of several over-the-counter medications and one prescription medication observed in Space #2b did not have complete instructions. 10A NCAC 09 .0803(4)(6-9) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. Broken plastic tubs were observed on two different playgrounds today. 10A NCAC 09 .0604(p) 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. Plastic grocery bags were observed within reach of children under three years of age in Space #1. .0604(q) A compliance letter including detailed information about how all violations have been corrected must be received by May 22, 2024. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited Technical assistance was provided today regarding medication instructions and permission forms. I strongly urged you to train staff members to review permission forms to ensure instructions are complete and the correct permission form is used for the type of medication. As discussed, the form for topical ointments and toothpaste should not be used for other types of medication including gas drops and teething tablets, as instructions would not be complete. In addition, when parents note that medication should be administered “as needed,” it needs to list the symptoms for staff to look for, such as “as needed for wheezing, coughing and shortness of breath.” Ensuring staff members have complete instructions for medication administration will not only keep children safe but protect you from liability. Regarding the exposed nails, staples and screws on the playgrounds, you stated you were aware that repairs were needed, and it was noted on the playground inspections observed today. You stated there had been plans for someone to come make repairs this week, however he got sick. Today I advised you to use plastic tarps or “Gorilla” tape to at least cover the hazards and make them inaccessible until they can be repaired. As discussed, when you notice hazards which cannot be quickly repaired moving forward, I urge you to make the area or the hazards inaccessible to children to avoid injury until permanent repairs can be made. Please send pictures showing repairs to verify compliance. Child Care Rule 10A NCAC 09 .0604 (p) states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris and broken equipment such as plastic toys or storage bins shall be removed and disposed of prior to children entering the outdoor area to avoid potential injuries caused by cracked plastic. In addition, for the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under three years of age by storing them at a minimum height of five feet off the floor. Technical Assistance Technical assistance was provided today regarding transitioning from lunch to rest time routines. As discussed, staff members should divide duties to ensure one of them is engaging children who have finished eating in some type of transition activity, while the other can clean or complete routines such as diaper changes. Today I suggested reading a book, singing songs, doing finger plays or doing a movement activity to “get the wiggles out” prior to asking children to go to their cots. You may find a nursery rhyme to sing each day during the transition to rest time. “Twinkle, Twinkle Little Star” works great, or you can create a naptime song. The Center on the Social and Emotional Foundations for Early Learning has many awesome transition activities available. One naptime transition activity is to incorporate a flash light leading each child to their cot. Decorate the flashlight and make it a quiet game of “follow the light quiet as a mouse.” Reading a naptime story to the entire class works great too! Practicing deep breathing, muscle relaxation, or guided imagery are also excellent transition activities. As discussed, turning on the rest time music or dimming the lights as soon as you can will also be a signal to children that it is time to transition to rest. Technical assistance was also provided today regarding some Environment Rating Scales requirements. As discussed, gross motor equipment with a fall height of 18 inches or more must have sufficient, resilient surfacing under and around it, regardless of whether it is movable or not. In addition, I suggested you inventory the block areas in the preschool classrooms to ensure they are large enough for 3 children to build sizeable structures (6X9 ft) and have enough blocks for 3 children to build sizeable structures without competition over materials. You may review the additional notes at www.ncrlap.org for specific numbers and types of blocks. Block areas should consist of blocks and small accessories such as vehicles, people, animals, and street signs only. Today I suggested moving larger vehicles which may disrupt block play to the toddler classrooms or the outdoor areas as they can be used as push toys. Rated License Information As discussed during the Annual Compliance visit, your facility was assigned to “Cohort 2” in the cohort model of resuming rated license reassessments. Today I reminded you that your planning/preparation year runs July 1, 2024-June 30, 2025, and a full reassessment will be required between July 1, 2025-June 30, 2026. As discussed, you may still request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP if you would like some practice, and/or you will also have the option to request an ERS assessment during your planning year (I will request a window for you). The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. I urged you again today to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of early childhood education coursework and two years of experience. As your enrollment has increased slightly, new teachers create WORKS accounts, apply for teacher positions, and submit official transcripts as needed. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Child Care Rules were revised January 1, 2024, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Training modules on the new rules are now available in Moodle under the Child Care Rule Rollout section. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 37 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 16, 2023. The last annual compliance visit was conducted December 6, 2022. A Superior sanitation rating was earned January 9, 2023, and a fire inspection was conducted January 4, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed pretending to sweep and cook food in the dramatic play area and using manipulatives. In Space #2a, children were observed reading books with their caregiver. Infants and children one year of age in Space #2b were observed in play activities including using busy boxes, playing drums and swatting at toys hanging from an activity center. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a group time activity during which they discussed the calendar and shapes. Children in Space #4 were observed in free choice activities including building towers with Legos, building a farm with blocks, and painting turkeys. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. Lunch served consisted of cheese pizza, carrots, tropical fruit and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Two loose boards were observed on the ramp leading from the building to the playground used by children two and three years of age, exposing a rusted nail. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Upon arrival, the door to the storage room where hazardous cleaning supplies are kept was unlocked. In addition, an aerosol can of Lysol was observed unlocked in Space #5. REPEATED .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. According to the medication log, Albuterol was administered to a child three years of age without written permission from the child's parent. 10A NCAC 09 .0803(1)(a & b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One of the eight children's files monitored was missing a signed acknowledgement of the Prevention of Shaken baby and Abusive Head Trauma policy. .0608(b)(1-6) A compliance letter including detailed information about how all violations have been corrected must be received by November 15, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited For the safety of the children, all hazardous cleaning supplies including products in aerosol cans must be kept in locked storage. Today you stated all staff members should be aware of requirements for locked storage, but you plan to start keeping the keys to the storage room yourself so it will not be left unlocked. I also urged you to conduct sporadic “walk throughs” to check for unlocked doors and cabinets until you are more confident storage requirements are being met. Regarding the exposed nail on the playground, you stated you were aware that the boards had become loose, and you have already asked one of the owners to come make repairs. During the visit you tried to remove the nail yourself but could not. When you notice hazards which cannot be quickly be repaired moving forward, I urge you to make the area inaccessible to children to avoid injury until permanent repairs can be made. Technical assistance was provided today regarding medication requirements for chronic medical conditions. As discussed, for conditions such as asthma which require a rescue medication at the center, you must have a medical action plan AND written authorization from parents to administer the required medication. Today you got the permission form for the Albuterol completed by the child’s parent during the visit, and you stated you would ensure you get both documents moving forward. Today I also reminded you to use the Child File Checklist to ensure all required documents are on file for children within required timeframes. During the visit, you were able to get the Prevention of Shaken Baby and Abusive Head Trauma policy signed by the child’s parent who did not have one on file. Technical Assistance During a visit at Childcare Professionals, LLC on July 19, 2023, I shared information with you regarding July 1, 2023 child care rule revisions. As discussed at that visit, the revised requirement for enhanced space outdoors is 100 square feet per child using the space at any given time. On August 10, 2023, I emailed you the new capacities of the four playgrounds at Edu-care Preschool Center for your convenience. Please ensure you have adjusted playground schedules as needed and shared new capacities with your staff to maintain compliance with the revised requirement. Technical assistance was also provided today regarding the new gross motor equipment and materials you have received from a grant. As discussed, climbing equipment which is not portable and eighteen inches in height or taller must be surrounded by resilient protective surfacing. If equipment is movable, Child Care Rules do not require surfacing, however you should review NCRLAP’s requirements for gross motor equipment before going through the Environment Rating Scales. Rated License Information As discussed during the Routine Unannounced visit June 29, 2023, your facility has been assigned to “Cohort 2,” with a planning/preparation year of July 1, 2024-June 30, 2025 and a reassessment year of July 1, 2025-June 30, 2026. Today I shared with you that you may request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP prior to the start of your planning year if you would like some practice. Outreach assessments are purely for learning and scores are not valid towards reassessment. You will also have the option to request an ERS assessment during your planning year. The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. As you get closer to that beginning of your planning year, I strongly urged you to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of ECE coursework and two years of experience. I shared with you that new teacher L. Clewis must create a WORKS account, apply for a teacher position, and submit official transcripts as needed. Once her evaluation is complete, you will be able to determine if you are maintaining compliance with points. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Remember to revise the ratio charts in Spaces #2b and 3 as discussed. A fire inspection must be conducted by January 4, 2024, and a sanitation inspection must be conducted by January 9, 2024. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 37 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 16, 2023. The last annual compliance visit was conducted December 6, 2022. A Superior sanitation rating was earned January 9, 2023, and a fire inspection was conducted January 4, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed pretending to sweep and cook food in the dramatic play area and using manipulatives. In Space #2a, children were observed reading books with their caregiver. Infants and children one year of age in Space #2b were observed in play activities including using busy boxes, playing drums and swatting at toys hanging from an activity center. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a group time activity during which they discussed the calendar and shapes. Children in Space #4 were observed in free choice activities including building towers with Legos, building a farm with blocks, and painting turkeys. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. Lunch served consisted of cheese pizza, carrots, tropical fruit and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Two loose boards were observed on the ramp leading from the building to the playground used by children two and three years of age, exposing a rusted nail. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Upon arrival, the door to the storage room where hazardous cleaning supplies are kept was unlocked. In addition, an aerosol can of Lysol was observed unlocked in Space #5. REPEATED .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. According to the medication log, Albuterol was administered to a child three years of age without written permission from the child's parent. 10A NCAC 09 .0803(1)(a & b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One of the eight children's files monitored was missing a signed acknowledgement of the Prevention of Shaken baby and Abusive Head Trauma policy. .0608(b)(1-6) A compliance letter including detailed information about how all violations have been corrected must be received by November 15, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited For the safety of the children, all hazardous cleaning supplies including products in aerosol cans must be kept in locked storage. Today you stated all staff members should be aware of requirements for locked storage, but you plan to start keeping the keys to the storage room yourself so it will not be left unlocked. I also urged you to conduct sporadic “walk throughs” to check for unlocked doors and cabinets until you are more confident storage requirements are being met. Regarding the exposed nail on the playground, you stated you were aware that the boards had become loose, and you have already asked one of the owners to come make repairs. During the visit you tried to remove the nail yourself but could not. When you notice hazards which cannot be quickly be repaired moving forward, I urge you to make the area inaccessible to children to avoid injury until permanent repairs can be made. Technical assistance was provided today regarding medication requirements for chronic medical conditions. As discussed, for conditions such as asthma which require a rescue medication at the center, you must have a medical action plan AND written authorization from parents to administer the required medication. Today you got the permission form for the Albuterol completed by the child’s parent during the visit, and you stated you would ensure you get both documents moving forward. Today I also reminded you to use the Child File Checklist to ensure all required documents are on file for children within required timeframes. During the visit, you were able to get the Prevention of Shaken Baby and Abusive Head Trauma policy signed by the child’s parent who did not have one on file. Technical Assistance During a visit at Childcare Professionals, LLC on July 19, 2023, I shared information with you regarding July 1, 2023 child care rule revisions. As discussed at that visit, the revised requirement for enhanced space outdoors is 100 square feet per child using the space at any given time. On August 10, 2023, I emailed you the new capacities of the four playgrounds at Edu-care Preschool Center for your convenience. Please ensure you have adjusted playground schedules as needed and shared new capacities with your staff to maintain compliance with the revised requirement. Technical assistance was also provided today regarding the new gross motor equipment and materials you have received from a grant. As discussed, climbing equipment which is not portable and eighteen inches in height or taller must be surrounded by resilient protective surfacing. If equipment is movable, Child Care Rules do not require surfacing, however you should review NCRLAP’s requirements for gross motor equipment before going through the Environment Rating Scales. Rated License Information As discussed during the Routine Unannounced visit June 29, 2023, your facility has been assigned to “Cohort 2,” with a planning/preparation year of July 1, 2024-June 30, 2025 and a reassessment year of July 1, 2025-June 30, 2026. Today I shared with you that you may request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP prior to the start of your planning year if you would like some practice. Outreach assessments are purely for learning and scores are not valid towards reassessment. You will also have the option to request an ERS assessment during your planning year. The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. As you get closer to that beginning of your planning year, I strongly urged you to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of ECE coursework and two years of experience. I shared with you that new teacher L. Clewis must create a WORKS account, apply for a teacher position, and submit official transcripts as needed. Once her evaluation is complete, you will be able to determine if you are maintaining compliance with points. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Remember to revise the ratio charts in Spaces #2b and 3 as discussed. A fire inspection must be conducted by January 4, 2024, and a sanitation inspection must be conducted by January 9, 2024. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: EDU-CARE PRESCHOOL CENTER Facility ID: 2455045 Consultant: AMY WANGLER Operation Type: Center Case Number: Visit Date: 11/1/2023 Number Present: 37 Completed Date: 11/1/2023 Age: From 0 To 5 Total Minutes: 170 Time In: 09:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Five Star license issued May 2, 2019, earning 7 points in Education, 6 points in Program Standards, and 1 Quality Point. Restrictions on the permit include: a first shift capacity of 100 children 0-12 years of age and meets enhanced ratios and space. Restrictions were in compliance today. The facility was also monitored for implementing an approved curriculum with children four years of age as required by the star rating; this program uses Creative Curriculum, Fourth Edition. Bon-Ron Corporation, the corporation which owns the facility, was verified as current and active with the NC Secretary of State’s office on October 16, 2023. The last annual compliance visit was conducted December 6, 2022. A Superior sanitation rating was earned January 9, 2023, and a fire inspection was conducted January 4, 2023; the facility was approved for day time care only. Prior to the visit, the facility had an eighteen-month compliance history score of 86%. Administrator, A. Suggs, was present and available for consultation today. Five indoor and four outdoor spaces are approved for use by children; Indoor Space #2 is divided into two separate and distinct spaces using furniture. Upon arrival, children in Space #1 were observed pretending to sweep and cook food in the dramatic play area and using manipulatives. In Space #2a, children were observed reading books with their caregiver. Infants and children one year of age in Space #2b were observed in play activities including using busy boxes, playing drums and swatting at toys hanging from an activity center. Safe sleep practices including documentation were monitored and in compliance today. In Space #3, children were engaged in a group time activity during which they discussed the calendar and shapes. Children in Space #4 were observed in free choice activities including building towers with Legos, building a farm with blocks, and painting turkeys. Two therapists were observed working with individual children in Space #5; criminal records qualification letters were on file as required. Lunch served consisted of cheese pizza, carrots, tropical fruit and milk. After lunch, children one through five years of age transitioned to rest time routines. They rested on cots which were appropriately spaced or separated by dividers. Individual linens were provided, lights were dimmed and soft music played. Health and Safety training requirements as outlined in Child Care Rule 10A NCAC 09 .1102 were monitored today. All staff members employed for one year have completed all topics as required. Staff members employed more than five years have repeated all topics as required. Child Care programs are expected to always achieve and maintain compliance with child care rules, and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Two loose boards were observed on the ramp leading from the building to the playground used by children two and three years of age, exposing a rusted nail. .0601(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Upon arrival, the door to the storage room where hazardous cleaning supplies are kept was unlocked. In addition, an aerosol can of Lysol was observed unlocked in Space #5. REPEATED .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. According to the medication log, Albuterol was administered to a child three years of age without written permission from the child's parent. 10A NCAC 09 .0803(1)(a & b) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One of the eight children's files monitored was missing a signed acknowledgement of the Prevention of Shaken baby and Abusive Head Trauma policy. .0608(b)(1-6) A compliance letter including detailed information about how all violations have been corrected must be received by November 15, 2023. Include any supporting documentation with your response (if applicable). Your letter will be used as verification that violations have been corrected and compliance is maintained; your written response is considered a legal document so must be accurate and truthful. If you email the compliance letter, it must be sent using the email address registered with DCDEE and include your facility name and ID number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Technical Assistance Regarding Violations Cited For the safety of the children, all hazardous cleaning supplies including products in aerosol cans must be kept in locked storage. Today you stated all staff members should be aware of requirements for locked storage, but you plan to start keeping the keys to the storage room yourself so it will not be left unlocked. I also urged you to conduct sporadic “walk throughs” to check for unlocked doors and cabinets until you are more confident storage requirements are being met. Regarding the exposed nail on the playground, you stated you were aware that the boards had become loose, and you have already asked one of the owners to come make repairs. During the visit you tried to remove the nail yourself but could not. When you notice hazards which cannot be quickly be repaired moving forward, I urge you to make the area inaccessible to children to avoid injury until permanent repairs can be made. Technical assistance was provided today regarding medication requirements for chronic medical conditions. As discussed, for conditions such as asthma which require a rescue medication at the center, you must have a medical action plan AND written authorization from parents to administer the required medication. Today you got the permission form for the Albuterol completed by the child’s parent during the visit, and you stated you would ensure you get both documents moving forward. Today I also reminded you to use the Child File Checklist to ensure all required documents are on file for children within required timeframes. During the visit, you were able to get the Prevention of Shaken Baby and Abusive Head Trauma policy signed by the child’s parent who did not have one on file. Technical Assistance During a visit at Childcare Professionals, LLC on July 19, 2023, I shared information with you regarding July 1, 2023 child care rule revisions. As discussed at that visit, the revised requirement for enhanced space outdoors is 100 square feet per child using the space at any given time. On August 10, 2023, I emailed you the new capacities of the four playgrounds at Edu-care Preschool Center for your convenience. Please ensure you have adjusted playground schedules as needed and shared new capacities with your staff to maintain compliance with the revised requirement. Technical assistance was also provided today regarding the new gross motor equipment and materials you have received from a grant. As discussed, climbing equipment which is not portable and eighteen inches in height or taller must be surrounded by resilient protective surfacing. If equipment is movable, Child Care Rules do not require surfacing, however you should review NCRLAP’s requirements for gross motor equipment before going through the Environment Rating Scales. Rated License Information As discussed during the Routine Unannounced visit June 29, 2023, your facility has been assigned to “Cohort 2,” with a planning/preparation year of July 1, 2024-June 30, 2025 and a reassessment year of July 1, 2025-June 30, 2026. Today I shared with you that you may request an outreach Environment Rating Scale (ERS) assessment directly from NCRLAP prior to the start of your planning year if you would like some practice. Outreach assessments are purely for learning and scores are not valid towards reassessment. You will also have the option to request an ERS assessment during your planning year. The scores from this assessment may or may not be used towards your full reassessment; it is entirely up to you to decide. As you get closer to that beginning of your planning year, I strongly urged you to utilize the resources on the NCRLAP website as well as the Columbus County Partnership for Children and Region 4 CCR&R staff to assist with ERS preparation. Regarding Education standards, it was determined that you are maintaining compliance with seven points for the administrator and lead teacher position, however you will need to keep an eye on staffing for the teacher position. As discussed, at least 50% of teachers must have the NCECC with 6 semester hours of ECE coursework and two years of experience. I shared with you that new teacher L. Clewis must create a WORKS account, apply for a teacher position, and submit official transcripts as needed. Once her evaluation is complete, you will be able to determine if you are maintaining compliance with points. Keep in mind, Education points will be evaluated during the rated license reassessment process, so you must ensure you take requirements into consideration when hiring and placing staff, as well as ensure all staff members have current information in WORKS. Reminders Remember to revise the ratio charts in Spaces #2b and 3 as discussed. A fire inspection must be conducted by January 4, 2024, and a sanitation inspection must be conducted by January 9, 2024. Child Care Rules were revised July 1, 2023, and a new rule book was posted to the DCDEE website. As discussed, you should discard any old versions of the rules and ensure you are referring to the most current rule book when reviewing or researching requirements. Sanitation rules were also readopted July 1, 2023. I strongly urge you to review the training information at https://ehs.dph.ncdhhs.gov/hhccehb/cehu/ccs/op-training.htm, and contact Children’s Environmental Health Services with any questions. For more information regarding the “cohort model” of resuming rated license reassessments, and opportunities for training and technical assistance as you prepare for a reassessment, you may visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License. At the end of this visit, documentation was completed electronically, printed and reviewed with you. Please remember it is your responsibility to comply with all child care rules and requirements at all times. If you have questions or need assistance please feel free to contact me at 910-338-7038 or amy.wangler@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times