Child Development Center

10A NCAC 09 .0803 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 68 Completed Date: 9/30/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 08:45 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 today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on October 09, 2024. Prior to this visit, the facility’s eighteen-month compliance history was 98%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. was current and active. Sanitation Inspection – 6/05/2025 - Superior classification Fire Inspection –9/18/2025 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 4 – 8 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 9 were observed during outdoor play. Children in space 2 were engaged in morning group time. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of oatmeal squares, blackberries, and water. Developmental Day Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the NC Division of Child Development and Early Education requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an inhaler used with a child expired in August 2025. 10A NCAC 09 .0803(1)(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: As discussed, it is important for expiration dates on medications to be checked regularly, to ensure they are still current and safe to use with the children. I encouraged you to find a system that works best for your program, making sure all classroom staff are consistently checking expiration dates and permission forms. Send home all expired or unused medications as soon as possible. REMINDERS: Regarding the Pathway to the stars - The QRIS conversation template was completed during today’s visit. Ms. Ratliff chose Pathway 2 for the program to work towards. The plan is to have the program fully transitioned by May 2026. Ms. Ratliff is aware to reach out to me with any concerns/questions. According to the Clean Classrooms for Carolina Kids website, information for your facility is as follows: • Water Testing-Completed on April 16, 2024 . Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt Regarding the ABCMS Portal - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. Be reminded that you have five (5) business days from the date of hire/termination to add/remove staff from the portal. Regarding NC DCDEE Updates - Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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 .2900 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 68 Completed Date: 9/30/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 08:45 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 today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on October 09, 2024. Prior to this visit, the facility’s eighteen-month compliance history was 98%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. was current and active. Sanitation Inspection – 6/05/2025 - Superior classification Fire Inspection –9/18/2025 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 4 – 8 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 9 were observed during outdoor play. Children in space 2 were engaged in morning group time. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of oatmeal squares, blackberries, and water. Developmental Day Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the NC Division of Child Development and Early Education requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an inhaler used with a child expired in August 2025. 10A NCAC 09 .0803(1)(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: As discussed, it is important for expiration dates on medications to be checked regularly, to ensure they are still current and safe to use with the children. I encouraged you to find a system that works best for your program, making sure all classroom staff are consistently checking expiration dates and permission forms. Send home all expired or unused medications as soon as possible. REMINDERS: Regarding the Pathway to the stars - The QRIS conversation template was completed during today’s visit. Ms. Ratliff chose Pathway 2 for the program to work towards. The plan is to have the program fully transitioned by May 2026. Ms. Ratliff is aware to reach out to me with any concerns/questions. According to the Clean Classrooms for Carolina Kids website, information for your facility is as follows: • Water Testing-Completed on April 16, 2024 . Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt Regarding the ABCMS Portal - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. Be reminded that you have five (5) business days from the date of hire/termination to add/remove staff from the portal. Regarding NC DCDEE Updates - Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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

G.S. 110-90 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 68 Completed Date: 9/30/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 08:45 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 today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on October 09, 2024. Prior to this visit, the facility’s eighteen-month compliance history was 98%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. was current and active. Sanitation Inspection – 6/05/2025 - Superior classification Fire Inspection –9/18/2025 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 4 – 8 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 9 were observed during outdoor play. Children in space 2 were engaged in morning group time. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of oatmeal squares, blackberries, and water. Developmental Day Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the NC Division of Child Development and Early Education requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an inhaler used with a child expired in August 2025. 10A NCAC 09 .0803(1)(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: As discussed, it is important for expiration dates on medications to be checked regularly, to ensure they are still current and safe to use with the children. I encouraged you to find a system that works best for your program, making sure all classroom staff are consistently checking expiration dates and permission forms. Send home all expired or unused medications as soon as possible. REMINDERS: Regarding the Pathway to the stars - The QRIS conversation template was completed during today’s visit. Ms. Ratliff chose Pathway 2 for the program to work towards. The plan is to have the program fully transitioned by May 2026. Ms. Ratliff is aware to reach out to me with any concerns/questions. According to the Clean Classrooms for Carolina Kids website, information for your facility is as follows: • Water Testing-Completed on April 16, 2024 . Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt Regarding the ABCMS Portal - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. Be reminded that you have five (5) business days from the date of hire/termination to add/remove staff from the portal. Regarding NC DCDEE Updates - Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/30/2025 Number Present: 68 Completed Date: 9/30/2025 Age: From 2 To 5 Total Minutes: 195 Time In: 08:45 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 today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on October 09, 2024. Prior to this visit, the facility’s eighteen-month compliance history was 98%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. was current and active. Sanitation Inspection – 6/05/2025 - Superior classification Fire Inspection –9/18/2025 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 4 – 8 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 9 were observed during outdoor play. Children in space 2 were engaged in morning group time. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of oatmeal squares, blackberries, and water. Developmental Day Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the NC Division of Child Development and Early Education requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 843 A drug or medicine was administered after its expiration date. In space 4, an inhaler used with a child expired in August 2025. 10A NCAC 09 .0803(1)(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 10, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: As discussed, it is important for expiration dates on medications to be checked regularly, to ensure they are still current and safe to use with the children. I encouraged you to find a system that works best for your program, making sure all classroom staff are consistently checking expiration dates and permission forms. Send home all expired or unused medications as soon as possible. REMINDERS: Regarding the Pathway to the stars - The QRIS conversation template was completed during today’s visit. Ms. Ratliff chose Pathway 2 for the program to work towards. The plan is to have the program fully transitioned by May 2026. Ms. Ratliff is aware to reach out to me with any concerns/questions. According to the Clean Classrooms for Carolina Kids website, information for your facility is as follows: • Water Testing-Completed on April 16, 2024 . Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt • Asbestos-Exempt Regarding the ABCMS Portal - As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. Be reminded that you have five (5) business days from the date of hire/termination to add/remove staff from the portal. Regarding NC DCDEE Updates - Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. Click on the “What’s New” tab for important updates impacting child care in North Carolina. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 93 Completed Date: 10/9/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 08:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on 10/17/2023. Prior to this visit, the facility’s eighteen-month compliance history was 100%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. is current and active. Sanitation Inspection – 6/26/2024 - Superior classification Fire Inspection –9/20/2024 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 2, 4 – 5, 7 and 9 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 8 were observed during outdoor play. Children in space 6 were engaged in music/movement activities. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of cereal, blackberries, and water. NC Pre-K Requirements: Spaces 2, 6 and 7 serve as NC Pre-K classrooms. The NC Pre-K Monitoring Tool was reviewed. The tool was not yet completed. The program has until October 31, 2024 for completion. The NC Pre-K Monitoring Tool will be reviewed in its entirety during your next Routine Unannounced visit to ensure that all requirements were met. The program follows the New Hanover County School calendar, the length of the day meets requirements, and all staff meet education requirements. The Creative Curriculum 6th edition has been implemented and the assessment tool, Teaching Strategies Gold, is in place. Three formal assessments with parent conferences are scheduled throughout the school year. Portfolios are maintained on Teacher Strategies Gold by taking pictures of the children’s work and uploading them to the program and were observed today. All required screenings were completed at the beginning of the year. NC Pre-K requirements were met today. Developmental Delay Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the Division of Child Development requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios as outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 9, an inhaler used for a child was not in the original labeled container. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. The inhaler in space 9 was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I recommend placing a checks and balances system to ensure medications are checked when received from parents before they are placed in classrooms for use. REMINDERS: A fire drill and playground inspection is due in October. New staff/child ratio forms have been posted in all the classrooms. Several of the forms are not filled out correctly. Ensure a walkthrough of all the classrooms is conducted and each form is filled out completely. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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 .2900 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 93 Completed Date: 10/9/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 08:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on 10/17/2023. Prior to this visit, the facility’s eighteen-month compliance history was 100%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. is current and active. Sanitation Inspection – 6/26/2024 - Superior classification Fire Inspection –9/20/2024 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 2, 4 – 5, 7 and 9 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 8 were observed during outdoor play. Children in space 6 were engaged in music/movement activities. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of cereal, blackberries, and water. NC Pre-K Requirements: Spaces 2, 6 and 7 serve as NC Pre-K classrooms. The NC Pre-K Monitoring Tool was reviewed. The tool was not yet completed. The program has until October 31, 2024 for completion. The NC Pre-K Monitoring Tool will be reviewed in its entirety during your next Routine Unannounced visit to ensure that all requirements were met. The program follows the New Hanover County School calendar, the length of the day meets requirements, and all staff meet education requirements. The Creative Curriculum 6th edition has been implemented and the assessment tool, Teaching Strategies Gold, is in place. Three formal assessments with parent conferences are scheduled throughout the school year. Portfolios are maintained on Teacher Strategies Gold by taking pictures of the children’s work and uploading them to the program and were observed today. All required screenings were completed at the beginning of the year. NC Pre-K requirements were met today. Developmental Delay Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the Division of Child Development requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios as outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 9, an inhaler used for a child was not in the original labeled container. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. The inhaler in space 9 was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I recommend placing a checks and balances system to ensure medications are checked when received from parents before they are placed in classrooms for use. REMINDERS: A fire drill and playground inspection is due in October. New staff/child ratio forms have been posted in all the classrooms. Several of the forms are not filled out correctly. Ensure a walkthrough of all the classrooms is conducted and each form is filled out completely. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/9/2024 Number Present: 93 Completed Date: 10/9/2024 Age: From 2 To 5 Total Minutes: 150 Time In: 08:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. The program currently operates with a Five Star License, issued December 02, 2019, earning 7 points in Education, 7 points in Program, and 1 quality point for choosing a Programmatic Option. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on 10/17/2023. Prior to this visit, the facility’s eighteen-month compliance history was 100%. According to the Secretary of State’s website, the corporation’s status, Child Development Center, Inc. is current and active. Sanitation Inspection – 6/26/2024 - Superior classification Fire Inspection –9/20/2024 - Facility was approved for daytime H. Ratliff, Administrator, was present and available for consultation. All indoor and outdoor spaces approved for use with the children were visited. Children in spaces 2, 4 – 5, 7 and 9 were engaged in free play, accessing a variety of age-appropriate materials. Children in spaces 1, 3 and 8 were observed during outdoor play. Children in space 6 were engaged in music/movement activities. Space 10 is not currently being used. Adequate supervision and positive interactions were observed throughout the program. Morning snack consisted of cereal, blackberries, and water. NC Pre-K Requirements: Spaces 2, 6 and 7 serve as NC Pre-K classrooms. The NC Pre-K Monitoring Tool was reviewed. The tool was not yet completed. The program has until October 31, 2024 for completion. The NC Pre-K Monitoring Tool will be reviewed in its entirety during your next Routine Unannounced visit to ensure that all requirements were met. The program follows the New Hanover County School calendar, the length of the day meets requirements, and all staff meet education requirements. The Creative Curriculum 6th edition has been implemented and the assessment tool, Teaching Strategies Gold, is in place. Three formal assessments with parent conferences are scheduled throughout the school year. Portfolios are maintained on Teacher Strategies Gold by taking pictures of the children’s work and uploading them to the program and were observed today. All required screenings were completed at the beginning of the year. NC Pre-K requirements were met today. Developmental Delay Requirements: This facility is a Developmental Day Program serving children diagnosed with developmental delays or developmental disabilities as well as children developing within normal parameters. Administration reported today the facility meets the Division of Child Development requirements as a "Certified Developmental Day" program. Each of the requirements as outlined in 10A NCAC 09 .2900 were reviewed today. The following is a summary of our conversations: The program operates 10 hours per day, 5 days per week, Monday through Friday, and 12 months per year. All staff meet educational requirements per child care rules. As discussed, it is vital for the program to maintain a four or five star rated license with an average score of 5.0 on the appropriate environment rating scale in each classroom evaluated. This facility complies with the ratios as outlined in this section. In accordance with Developmental Day Family Services Requirements, I confirmed this facility provides the following five family involvement activities: (1) Providing parent workshops at least four times a year; (2) Holding parent/teacher conferences at least twice a year; (3) Communicating on an individual basis with parents via daily notes, progress reports or surveys; (4) Providing opportunities for parent volunteers to assist with special classroom activities and other learning experiences for children (5) Providing parents with referral information about other community programs and resources serving young children. One violation was observed and must be corrected immediately. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 9, an inhaler used for a child was not in the original labeled container. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. Due to the severity of the violation cited, follow-up visits will take place. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSSITANCE REGARDING VIOLATION CITED: Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. The inhaler in space 9 was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I recommend placing a checks and balances system to ensure medications are checked when received from parents before they are placed in classrooms for use. REMINDERS: A fire drill and playground inspection is due in October. New staff/child ratio forms have been posted in all the classrooms. Several of the forms are not filled out correctly. Ensure a walkthrough of all the classrooms is conducted and each form is filled out completely. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@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 .0601 · Violation

Name of Operation: CHILD DEVELOPMENT CENTER Facility ID: 65000539 Consultant: ALLISON DAVIS Operation Type: Center Case Number: 0924-388A Visit Date: 10/3/2024 Number Present: 71 Completed Date: 10/3/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Katherine Cook, Administration, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Heather Ratliff, Administrator, and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 26, 2024, a staff member accidentally rolled a wheelchair over the hand of a three-year-old child causing the nail to lift off of one of the child’s fingers. 10A NCAC 09 .0601(a) You may contact me at Allison Davis, Investigations Consultant, allison.davis@dhhs.nc.gov, 910-800-0079 or Melissa Loehr, Southeastern Investigations Supervisor, melissa.loehr@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times