Children'S Cottage OF Wilmington

10A NCAC 09 .0604 · Violation

Name of Operation: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 59 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC, is current and active. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on March 25, 2025. Heather Elliott, Child Care Consultant was present during today’s visit. Sanitation Inspection – 04/30/2025 – Superior Classification Fire inspection – 02/21/2025 - Facility was approved for daytime only Amy Feder, Administrator, was present and available for consultation. Infants in spaces 1, 7a/b, 8 and 9 received care based on individual needs, including diapering, feeding and napping routines. Infants not involved in routine care were either held by caregivers, or allowed to move freely around the space, engaging with a variety of age-appropriate materials. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 and 5 were engaged in free play of centers. Children in spaces 2 and 4 were enjoying morning snack, which consisted of bagels, apple slices and water. Space 6 is currently not in use. The program provides a morning and afternoon snack. Children bring lunch from home daily. Three new employees were hired since the last visit in March. All new employee files were monitored and found to be in compliance today. Three violations were observed today. One violation was corrected during the visit; however, please still address the corrected violation in your compliance letter, stating your plan of action to ensure the same violation will not occur. 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. Chipped wall paint that was accessible to children in care was observed in spaces 2, 3, and 9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets were observed uncovered today in spaces 7a and 8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Parent permission forms for two diaper creams and a bug spray used with children in spaces 2 and 3 were incomplete. Information such as name of medication, dosage, permission dates to use and expiration dates were not documented on the forms. 10A NCAC 09 .0803(4)(6-9) 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 September 15, 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 ASSITANCE REGARDING VIOLATION CITED: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. As discussed, it is vital that all permission forms are reviewed carefully, ensuring completion, prior to accepting into the classroom. Chipping paint can be a safety hazard for children if accessible and pieces of the paint are swallowed. Today, in spaces 2, 3 and 9, chipping paint were observed on several areas of the walls. Ms. Feder stated she put in an order that has not been fulfilled yet. Moving forward, please make sure any chipped paint is corrected before the areas are prominent and pose possible safety hazards to the children. For the health and safety of children in your care, it is very important to ensure that all electrical outlets that are unused remain covered. Several outlets were observed uncovered today. As discussed, ensure staff members are conducting a environment safety check prior to children’s arrival daily. REMINDERS: I. Tetterton, hired on July 28, 2025, must complete CPR/FA certification before or by October 28, 2025, to maintain compliance with child care rules. A. Johnson, hired on June 17, 2025, must complete CPR/FA certification before or by September 17, 2025, to maintain compliance with child care rules. As discussed, ensure you send home any seasonal sunscreen that may no longer be used. Ensure a fire drill and playground inspections are completed for September. Regarding Pathway to the Stars – Ms. Feder RSVP’d to attend the in-person meeting scheduled for September 16, 2025 at 10 am, located at the NHC Cooperative Extension. Prior to the meeting, I strongly encourage you to review the link below in detail to help you be fully prepared for the topics that will be discussed: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Clean Classrooms for Carolina Kids - The registration and enrollment for all three testing programs have been completed –lead in water, lead-based paint and asbestos. I verified through the website Clean Classrooms for Carolina Kids that you have completed all three tests with no hazards identified. Remember that water testing must be completed every three years. According to the website, your water was last tested in March 2024. 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 The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) - this initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. 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, printed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 59 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC, is current and active. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on March 25, 2025. Heather Elliott, Child Care Consultant was present during today’s visit. Sanitation Inspection – 04/30/2025 – Superior Classification Fire inspection – 02/21/2025 - Facility was approved for daytime only Amy Feder, Administrator, was present and available for consultation. Infants in spaces 1, 7a/b, 8 and 9 received care based on individual needs, including diapering, feeding and napping routines. Infants not involved in routine care were either held by caregivers, or allowed to move freely around the space, engaging with a variety of age-appropriate materials. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 and 5 were engaged in free play of centers. Children in spaces 2 and 4 were enjoying morning snack, which consisted of bagels, apple slices and water. Space 6 is currently not in use. The program provides a morning and afternoon snack. Children bring lunch from home daily. Three new employees were hired since the last visit in March. All new employee files were monitored and found to be in compliance today. Three violations were observed today. One violation was corrected during the visit; however, please still address the corrected violation in your compliance letter, stating your plan of action to ensure the same violation will not occur. 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. Chipped wall paint that was accessible to children in care was observed in spaces 2, 3, and 9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets were observed uncovered today in spaces 7a and 8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Parent permission forms for two diaper creams and a bug spray used with children in spaces 2 and 3 were incomplete. Information such as name of medication, dosage, permission dates to use and expiration dates were not documented on the forms. 10A NCAC 09 .0803(4)(6-9) 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 September 15, 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 ASSITANCE REGARDING VIOLATION CITED: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. As discussed, it is vital that all permission forms are reviewed carefully, ensuring completion, prior to accepting into the classroom. Chipping paint can be a safety hazard for children if accessible and pieces of the paint are swallowed. Today, in spaces 2, 3 and 9, chipping paint were observed on several areas of the walls. Ms. Feder stated she put in an order that has not been fulfilled yet. Moving forward, please make sure any chipped paint is corrected before the areas are prominent and pose possible safety hazards to the children. For the health and safety of children in your care, it is very important to ensure that all electrical outlets that are unused remain covered. Several outlets were observed uncovered today. As discussed, ensure staff members are conducting a environment safety check prior to children’s arrival daily. REMINDERS: I. Tetterton, hired on July 28, 2025, must complete CPR/FA certification before or by October 28, 2025, to maintain compliance with child care rules. A. Johnson, hired on June 17, 2025, must complete CPR/FA certification before or by September 17, 2025, to maintain compliance with child care rules. As discussed, ensure you send home any seasonal sunscreen that may no longer be used. Ensure a fire drill and playground inspections are completed for September. Regarding Pathway to the Stars – Ms. Feder RSVP’d to attend the in-person meeting scheduled for September 16, 2025 at 10 am, located at the NHC Cooperative Extension. Prior to the meeting, I strongly encourage you to review the link below in detail to help you be fully prepared for the topics that will be discussed: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Clean Classrooms for Carolina Kids - The registration and enrollment for all three testing programs have been completed –lead in water, lead-based paint and asbestos. I verified through the website Clean Classrooms for Carolina Kids that you have completed all three tests with no hazards identified. Remember that water testing must be completed every three years. According to the website, your water was last tested in March 2024. 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 The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) - this initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. 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, printed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 59 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC, is current and active. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on March 25, 2025. Heather Elliott, Child Care Consultant was present during today’s visit. Sanitation Inspection – 04/30/2025 – Superior Classification Fire inspection – 02/21/2025 - Facility was approved for daytime only Amy Feder, Administrator, was present and available for consultation. Infants in spaces 1, 7a/b, 8 and 9 received care based on individual needs, including diapering, feeding and napping routines. Infants not involved in routine care were either held by caregivers, or allowed to move freely around the space, engaging with a variety of age-appropriate materials. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 and 5 were engaged in free play of centers. Children in spaces 2 and 4 were enjoying morning snack, which consisted of bagels, apple slices and water. Space 6 is currently not in use. The program provides a morning and afternoon snack. Children bring lunch from home daily. Three new employees were hired since the last visit in March. All new employee files were monitored and found to be in compliance today. Three violations were observed today. One violation was corrected during the visit; however, please still address the corrected violation in your compliance letter, stating your plan of action to ensure the same violation will not occur. 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. Chipped wall paint that was accessible to children in care was observed in spaces 2, 3, and 9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets were observed uncovered today in spaces 7a and 8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Parent permission forms for two diaper creams and a bug spray used with children in spaces 2 and 3 were incomplete. Information such as name of medication, dosage, permission dates to use and expiration dates were not documented on the forms. 10A NCAC 09 .0803(4)(6-9) 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 September 15, 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 ASSITANCE REGARDING VIOLATION CITED: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. As discussed, it is vital that all permission forms are reviewed carefully, ensuring completion, prior to accepting into the classroom. Chipping paint can be a safety hazard for children if accessible and pieces of the paint are swallowed. Today, in spaces 2, 3 and 9, chipping paint were observed on several areas of the walls. Ms. Feder stated she put in an order that has not been fulfilled yet. Moving forward, please make sure any chipped paint is corrected before the areas are prominent and pose possible safety hazards to the children. For the health and safety of children in your care, it is very important to ensure that all electrical outlets that are unused remain covered. Several outlets were observed uncovered today. As discussed, ensure staff members are conducting a environment safety check prior to children’s arrival daily. REMINDERS: I. Tetterton, hired on July 28, 2025, must complete CPR/FA certification before or by October 28, 2025, to maintain compliance with child care rules. A. Johnson, hired on June 17, 2025, must complete CPR/FA certification before or by September 17, 2025, to maintain compliance with child care rules. As discussed, ensure you send home any seasonal sunscreen that may no longer be used. Ensure a fire drill and playground inspections are completed for September. Regarding Pathway to the Stars – Ms. Feder RSVP’d to attend the in-person meeting scheduled for September 16, 2025 at 10 am, located at the NHC Cooperative Extension. Prior to the meeting, I strongly encourage you to review the link below in detail to help you be fully prepared for the topics that will be discussed: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Clean Classrooms for Carolina Kids - The registration and enrollment for all three testing programs have been completed –lead in water, lead-based paint and asbestos. I verified through the website Clean Classrooms for Carolina Kids that you have completed all three tests with no hazards identified. Remember that water testing must be completed every three years. According to the website, your water was last tested in March 2024. 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 The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) - this initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. 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, printed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 59 Completed Date: 9/3/2025 Age: From 0 To 4 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC, is current and active. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on March 25, 2025. Heather Elliott, Child Care Consultant was present during today’s visit. Sanitation Inspection – 04/30/2025 – Superior Classification Fire inspection – 02/21/2025 - Facility was approved for daytime only Amy Feder, Administrator, was present and available for consultation. Infants in spaces 1, 7a/b, 8 and 9 received care based on individual needs, including diapering, feeding and napping routines. Infants not involved in routine care were either held by caregivers, or allowed to move freely around the space, engaging with a variety of age-appropriate materials. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 and 5 were engaged in free play of centers. Children in spaces 2 and 4 were enjoying morning snack, which consisted of bagels, apple slices and water. Space 6 is currently not in use. The program provides a morning and afternoon snack. Children bring lunch from home daily. Three new employees were hired since the last visit in March. All new employee files were monitored and found to be in compliance today. Three violations were observed today. One violation was corrected during the visit; however, please still address the corrected violation in your compliance letter, stating your plan of action to ensure the same violation will not occur. 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. Chipped wall paint that was accessible to children in care was observed in spaces 2, 3, and 9. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two electrical outlets were observed uncovered today in spaces 7a and 8. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. Parent permission forms for two diaper creams and a bug spray used with children in spaces 2 and 3 were incomplete. Information such as name of medication, dosage, permission dates to use and expiration dates were not documented on the forms. 10A NCAC 09 .0803(4)(6-9) 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 September 15, 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 ASSITANCE REGARDING VIOLATION CITED: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Prescription medications must also be in the original container with the pharmacy label attached. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. As discussed, it is vital that all permission forms are reviewed carefully, ensuring completion, prior to accepting into the classroom. Chipping paint can be a safety hazard for children if accessible and pieces of the paint are swallowed. Today, in spaces 2, 3 and 9, chipping paint were observed on several areas of the walls. Ms. Feder stated she put in an order that has not been fulfilled yet. Moving forward, please make sure any chipped paint is corrected before the areas are prominent and pose possible safety hazards to the children. For the health and safety of children in your care, it is very important to ensure that all electrical outlets that are unused remain covered. Several outlets were observed uncovered today. As discussed, ensure staff members are conducting a environment safety check prior to children’s arrival daily. REMINDERS: I. Tetterton, hired on July 28, 2025, must complete CPR/FA certification before or by October 28, 2025, to maintain compliance with child care rules. A. Johnson, hired on June 17, 2025, must complete CPR/FA certification before or by September 17, 2025, to maintain compliance with child care rules. As discussed, ensure you send home any seasonal sunscreen that may no longer be used. Ensure a fire drill and playground inspections are completed for September. Regarding Pathway to the Stars – Ms. Feder RSVP’d to attend the in-person meeting scheduled for September 16, 2025 at 10 am, located at the NHC Cooperative Extension. Prior to the meeting, I strongly encourage you to review the link below in detail to help you be fully prepared for the topics that will be discussed: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Clean Classrooms for Carolina Kids - The registration and enrollment for all three testing programs have been completed –lead in water, lead-based paint and asbestos. I verified through the website Clean Classrooms for Carolina Kids that you have completed all three tests with no hazards identified. Remember that water testing must be completed every three years. According to the website, your water was last tested in March 2024. 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 The Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) - this initiative launched in North Carolina to make it easier for military families to access and afford quality child care from community providers. Licensed child care facilities are now able to participate in MCCYN-PLUS based on their star rating. If you are interested in participating in the military fee assistance program, please visit: https://www.childcareaware.org/feeassistancerespite/feeassistancerespiteproviders/feeassistance/ to review the application process. 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, printed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 70 Completed Date: 3/25/2025 Age: From 0 To 4 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 92%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 09/05/2024 - Superior Fire inspection – 02/21/2025 - Facility was approved for daytime only Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Space 6 is currently not in use. Infants in Spaces 1, 7a/b, 8 and 9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in spaces 3 and 4 were enjoying outdoor play. Children in space 5 were seated for morning group time. Children in spaces 2 were engaged in free choice of learning centers. Morning snack consisted of French toast sticks, apple sauce, blueberries, and water. Lunches are provided from home daily. One violation was observed and must be corrected immediately. Violation Number Comment Rule 1329 Application for enrollment did not include all required information. During the children's file review, it was observed that two enrollment applications did not include information on allergies/symptoms, particular fears, unique behaviors or health concerns. .0801(a)(1-7) 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 April 04, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATION CITED: Two children’s enrollment applications did not provide answers to all the questions under the “health care needs” section. In order for the child to have the best experience when enrolling in your program, it is important for this information to be included. This way, staff members are able to review the application and ensure they are aware of things such as particular fears and unique behaviors children in your care may exhibit. Moving forward, I encourage you to review each enrollment application carefully and ask the parents to complete any questions left unanswered. If the questions do not apply to the child, documenting “N/A” is acceptable. REMINDERS: A monthly fire drill and playground inspection are due in March. Mulch on all playgrounds needs to be fluffed, especially around the fall zones discussed today. Ms. Feder stated a request for additional mulch has been made. For the safety of all the children in your care, as they explore their outdoor environment, I encourage you to add mulch soon. For the health of safety of the children, staff members must remain diligent about wiping the children's noses throughout the day and practicing proper handwashing routines when required. Remember to check that all bottles, sippy cups, and food containers brought from home are labeled daily. K. Sidberry's ITS-SIDS training expired in July 2024. Ms. Sidberry currently serves in an administrative position. Until she receives new certification, she may not step in or help in classrooms serving children 0-12 months old. Ensure you email me a copy of her new certificate upon completion. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Today, I verified that you have completed the required training and can access the ABCMS portal. You must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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 .2818 · Violation

Name of Operation: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: 1124-006L Visit Date: 11/8/2024 Number Present: 55 Completed Date: 11/8/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit is to investigate a report alleging violations of childcare requirements. Childcare requirements pertinent to this visit type were monitored. The allegation of this report was discussed with A. Feder, Administrator. You were given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on April 05, 2024. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. All approved indoor spaces were visited today. There are sixty-eight children enrolled and fifty-five children present today. Infants were observed receiving care based on individual needs, including feeding, diapering and napping routines. Toddler and preschool-aged children were observed during outdoor play or engaged in free play, accessing a variety of age-appropriate materials. Allegation #1: There is a concern that staff/child ratios are not being followed. A walkthrough of all spaces was conducted, and staff/child ratios were in compliance today. Administration and staff members were aware of an incident that took place in space 4 on October 31, 2024, at approximately 1:10 pm. Space 4 is used with two- and three-year-old children. At the time of the incident, nine children were enrolled. Devon Brown, floater, was covering the lead teacher’s (Shyneice Simpson) lunch break. Seven children were present and napping. Ms. Simpson was running late returning to her classroom. Mr. Brown walked out of the classroom without alerting administration, leaving the classroom out of ratio for approximately one minute. Mr. Brown was terminated the same afternoon. Based on my observations and information received, this allegation is substantiated. Allegation #2: There is a concern that children were left unsupervised. On October 31, 2024, at approximately 1:10 pm, Devon Brown, floater, was covering a lunch break for Shyneice Simpson, lead teacher. Mr. Brown walked out of the classroom, leaving seven children unsupervised for approximately one minute during rest time. Mr. Brown was terminated the same afternoon. Based on observations and information received, this allegation is substantiated. Allegation #3: There is a concern that children are being cared for in an unsafe environment. I visited all approved spaces today and did not observe any concerns with children being cared for in an unsafe environment. Children in all spaces appeared happy and well-cared for. Staff members were attentive, provided adequate supervision and positive interactions. Staff members and administrators interviewed today stated they do their best each day to keep children in their care happy, healthy and safe. If any concerns with safety issues are observed, they are reported to administration immediately and corrected. Based on observations and information received, this allegation is unsubstantiated. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On October 31, 2024, Devon Brown, floater walked out of the classroom of two-year-olds, leaving seven children unsupervised for approximately one minute during rest time. .1801(a)(1-5) 1756 Enhanced staff/child ratios and group sizes were not met. On October 31, 2024, Devon Brown, floater, walked out of the classroom of two-year-olds, leaving seven children alone during rest time. Staff/child ratios for this age group is 1/9. 10A NCAC 09 .2818 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 November 18, 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 violations cited, follow-up visits will be conducted. 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 ASSISTANCE REGARDING VIOLATIONS CITED: Adequate Supervision: Children shall be adequately supervised at all times. Staff must know where each child is located and be aware of children’s activities at all times. Adequate supervision means that staff interact with the children while moving about the indoor and outdoor area and are able to hear and see the children at all times, except when emergencies necessitate that direct supervision is impossible for brief periods of time. For pre-school age children, the operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance. Prior to leaving classrooms and outdoor play areas, teachers should check areas to ensure no child is left unsupervised or alone in these areas. It is imperative that caregivers supervise children at all times, not just for the safety of children, but to ensure children get the attention they need for optimal growth and development. Serious injuries can occur indoors and outdoors if constant supervision is not maintained. Caregivers who are actively involved, aware, and appreciative of young children’s behaviors are in the best position to keep children safe. Staff/child Ratios: It is vital that staff/child ratios be maintained at all times. When staff/child ratios are not maintained, it can jeopardize the safety of children in care. Each space visited today had a staff/child ratio form posted and when asked, each staff knew the ratios they were supposed to follow under enhanced standards and relating to the age of children they cared for. As discussed, ensure you discuss with staff the importance of knowing and maintaining ratios at all times with no exception. If something happens that staff feel the need to leave the classroom, they must alert administrators and allow for proper staff coverage before leaving the classroom out of ratio. At the completion of the visit, this visit summary was reviewed, signed and a copy was left with you. Reach me at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov with questions/concerns. 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: 1124-006L Visit Date: 11/8/2024 Number Present: 55 Completed Date: 11/8/2024 Age: From 0 To 4 Total Minutes: 165 Time In: 08:45 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit is to investigate a report alleging violations of childcare requirements. Childcare requirements pertinent to this visit type were monitored. The allegation of this report was discussed with A. Feder, Administrator. You were given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on April 05, 2024. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. All approved indoor spaces were visited today. There are sixty-eight children enrolled and fifty-five children present today. Infants were observed receiving care based on individual needs, including feeding, diapering and napping routines. Toddler and preschool-aged children were observed during outdoor play or engaged in free play, accessing a variety of age-appropriate materials. Allegation #1: There is a concern that staff/child ratios are not being followed. A walkthrough of all spaces was conducted, and staff/child ratios were in compliance today. Administration and staff members were aware of an incident that took place in space 4 on October 31, 2024, at approximately 1:10 pm. Space 4 is used with two- and three-year-old children. At the time of the incident, nine children were enrolled. Devon Brown, floater, was covering the lead teacher’s (Shyneice Simpson) lunch break. Seven children were present and napping. Ms. Simpson was running late returning to her classroom. Mr. Brown walked out of the classroom without alerting administration, leaving the classroom out of ratio for approximately one minute. Mr. Brown was terminated the same afternoon. Based on my observations and information received, this allegation is substantiated. Allegation #2: There is a concern that children were left unsupervised. On October 31, 2024, at approximately 1:10 pm, Devon Brown, floater, was covering a lunch break for Shyneice Simpson, lead teacher. Mr. Brown walked out of the classroom, leaving seven children unsupervised for approximately one minute during rest time. Mr. Brown was terminated the same afternoon. Based on observations and information received, this allegation is substantiated. Allegation #3: There is a concern that children are being cared for in an unsafe environment. I visited all approved spaces today and did not observe any concerns with children being cared for in an unsafe environment. Children in all spaces appeared happy and well-cared for. Staff members were attentive, provided adequate supervision and positive interactions. Staff members and administrators interviewed today stated they do their best each day to keep children in their care happy, healthy and safe. If any concerns with safety issues are observed, they are reported to administration immediately and corrected. Based on observations and information received, this allegation is unsubstantiated. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On October 31, 2024, Devon Brown, floater walked out of the classroom of two-year-olds, leaving seven children unsupervised for approximately one minute during rest time. .1801(a)(1-5) 1756 Enhanced staff/child ratios and group sizes were not met. On October 31, 2024, Devon Brown, floater, walked out of the classroom of two-year-olds, leaving seven children alone during rest time. Staff/child ratios for this age group is 1/9. 10A NCAC 09 .2818 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 November 18, 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 violations cited, follow-up visits will be conducted. 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 ASSISTANCE REGARDING VIOLATIONS CITED: Adequate Supervision: Children shall be adequately supervised at all times. Staff must know where each child is located and be aware of children’s activities at all times. Adequate supervision means that staff interact with the children while moving about the indoor and outdoor area and are able to hear and see the children at all times, except when emergencies necessitate that direct supervision is impossible for brief periods of time. For pre-school age children, the operator shall be positioned in the indoor and outdoor environment to maximize his or her ability to hear and see the children at all times and render immediate assistance. Prior to leaving classrooms and outdoor play areas, teachers should check areas to ensure no child is left unsupervised or alone in these areas. It is imperative that caregivers supervise children at all times, not just for the safety of children, but to ensure children get the attention they need for optimal growth and development. Serious injuries can occur indoors and outdoors if constant supervision is not maintained. Caregivers who are actively involved, aware, and appreciative of young children’s behaviors are in the best position to keep children safe. Staff/child Ratios: It is vital that staff/child ratios be maintained at all times. When staff/child ratios are not maintained, it can jeopardize the safety of children in care. Each space visited today had a staff/child ratio form posted and when asked, each staff knew the ratios they were supposed to follow under enhanced standards and relating to the age of children they cared for. As discussed, ensure you discuss with staff the importance of knowing and maintaining ratios at all times with no exception. If something happens that staff feel the need to leave the classroom, they must alert administrators and allow for proper staff coverage before leaving the classroom out of ratio. At the completion of the visit, this visit summary was reviewed, signed and a copy was left with you. Reach me at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov with questions/concerns. 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 .0902 · Violation

Name of Operation: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 34 Completed Date: 10/16/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Spaces 6 and 7 are not in use. Infants in Spaces 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 were seated for morning snack, which consisted of fig bars, bananas and water. Children in spaces 1, 2 and 4 were engaged in free choice of learning centers. Children in space 4 were playing outdoors. Lunches are provided from home daily. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In each of the infant spaces, several feeding schedules were not posted or followed. 10A NCAC 09 .0902(a) 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 4, a eczema cream used with a child was not in the orginal 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 25, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS 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 eczema cream medication in Space four was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I encourage placing a checks and balances system to ensure all medications are meeting compliance requirements prior to use with children. Today we discussed ensuring that caregivers have copies of feeding schedules for each child in their care that remains posted in the classroom. I reminded you of the importance to use the information provided by parents on the feeding schedules instead of guessing what the child may need throughout the day. We also discussed that parents or guardians can discuss any changes within the feeding schedule with caregivers before they occur. Once the parents advise a caregiver that there will be changes to the feeding schedule, the feeding schedule should be updated by the parent. It is important that the caregivers are following what the feeding schedule states. We also discussed the required information that must be written on the feeding schedule and the frequency that it must be updated. REMINDERS: Regarding the use of sound machines in infant classrooms: There can be concerns that staff members may not be able to hear and respond to sleeping infants and supervise appropriately. Based on the American Academy of Pediatrics website, when in use, they should be at a low tone based on the and used according to manufacturer’s guidelines. There should not be multiple sound machines and cords cannot be accessible. Sound machines should be treated like music used during naptime. S. Simpson’s CPR/FA certification expires in October 2024.To maintain compliance, ensure Ms. Simpson completes recertification prior to the end of this month. A monthly fire drill and playground inspection are due in October. At the completion of this visit, the visit summary was completed on-site, reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 34 Completed Date: 10/16/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Spaces 6 and 7 are not in use. Infants in Spaces 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 were seated for morning snack, which consisted of fig bars, bananas and water. Children in spaces 1, 2 and 4 were engaged in free choice of learning centers. Children in space 4 were playing outdoors. Lunches are provided from home daily. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In each of the infant spaces, several feeding schedules were not posted or followed. 10A NCAC 09 .0902(a) 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 4, a eczema cream used with a child was not in the orginal 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 25, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS 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 eczema cream medication in Space four was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I encourage placing a checks and balances system to ensure all medications are meeting compliance requirements prior to use with children. Today we discussed ensuring that caregivers have copies of feeding schedules for each child in their care that remains posted in the classroom. I reminded you of the importance to use the information provided by parents on the feeding schedules instead of guessing what the child may need throughout the day. We also discussed that parents or guardians can discuss any changes within the feeding schedule with caregivers before they occur. Once the parents advise a caregiver that there will be changes to the feeding schedule, the feeding schedule should be updated by the parent. It is important that the caregivers are following what the feeding schedule states. We also discussed the required information that must be written on the feeding schedule and the frequency that it must be updated. REMINDERS: Regarding the use of sound machines in infant classrooms: There can be concerns that staff members may not be able to hear and respond to sleeping infants and supervise appropriately. Based on the American Academy of Pediatrics website, when in use, they should be at a low tone based on the and used according to manufacturer’s guidelines. There should not be multiple sound machines and cords cannot be accessible. Sound machines should be treated like music used during naptime. S. Simpson’s CPR/FA certification expires in October 2024.To maintain compliance, ensure Ms. Simpson completes recertification prior to the end of this month. A monthly fire drill and playground inspection are due in October. At the completion of this visit, the visit summary was completed on-site, reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 34 Completed Date: 10/16/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 09:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Spaces 6 and 7 are not in use. Infants in Spaces 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 3 were seated for morning snack, which consisted of fig bars, bananas and water. Children in spaces 1, 2 and 4 were engaged in free choice of learning centers. Children in space 4 were playing outdoors. Lunches are provided from home daily. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). In each of the infant spaces, several feeding schedules were not posted or followed. 10A NCAC 09 .0902(a) 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 4, a eczema cream used with a child was not in the orginal 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 25, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS 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 eczema cream medication in Space four was not stored in the prescription box with a pharmacy label on the original container. Moving forward, I encourage placing a checks and balances system to ensure all medications are meeting compliance requirements prior to use with children. Today we discussed ensuring that caregivers have copies of feeding schedules for each child in their care that remains posted in the classroom. I reminded you of the importance to use the information provided by parents on the feeding schedules instead of guessing what the child may need throughout the day. We also discussed that parents or guardians can discuss any changes within the feeding schedule with caregivers before they occur. Once the parents advise a caregiver that there will be changes to the feeding schedule, the feeding schedule should be updated by the parent. It is important that the caregivers are following what the feeding schedule states. We also discussed the required information that must be written on the feeding schedule and the frequency that it must be updated. REMINDERS: Regarding the use of sound machines in infant classrooms: There can be concerns that staff members may not be able to hear and respond to sleeping infants and supervise appropriately. Based on the American Academy of Pediatrics website, when in use, they should be at a low tone based on the and used according to manufacturer’s guidelines. There should not be multiple sound machines and cords cannot be accessible. Sound machines should be treated like music used during naptime. S. Simpson’s CPR/FA certification expires in October 2024.To maintain compliance, ensure Ms. Simpson completes recertification prior to the end of this month. A monthly fire drill and playground inspection are due in October. At the completion of this visit, the visit summary was completed on-site, reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 4/5/2024 Number Present: 23 Completed Date: 4/5/2024 Age: From 0 To 4 Total Minutes: 185 Time In: 08:30 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 10/10/2023 - Approved Fire inspection – 09/15/2023 - Facility was approved for daytime only Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Spaces 1 and 6 are not in use due to staff shortage. Infants in Spaces 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 7 were transitioning from outdoor play to hand washing routines, followed by being seated for morning snack, which consisted of French toast sticks, strawberries and water. Children in spaces 2, 3 and 5 were engaged in free choice of learning centers. Children in space 4 were playing outdoors. Lunches are provided from home daily. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. One of the steps leading to the landing of the plastic climbing structure on the toddler playground is cracked, causing the steps to be unsafe for use with the children. 10A NCAC 09 .0601(a) 1329 Application for enrollment did not include all required information. Four children's enrollment applications were missing information including children's unique behavior characterisitics, health care concerns, fears, allergies and symptoms. .0801(a)(1-7) 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 April 15, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. RATED LICENSE INFORMATION: I reminded you today that your program was assigned to Cohort 3 in the “cohort model” of resuming rated license assessments after June 30, 2024. Your planning/preparation year will be July 1, 2025-June 30, 2026, and your reassessment year will be July 1, 2026-June 30, 2027. As your facility will need to have the Environment Rating Scales (ERS) conducted, I encouraged you today to begin reviewing resources available at www.ncrlap.org and creating a plan of action for your reassessment. As you get closer to your planning year, you may also wish to contact Smart Start of New Hanover County or Region 4 CCR&R staff to assist with your ERS preparation. Today we also discussed that the way points are earned towards your star rated license may be different by the time your reassessment is due. I will share more information as it becomes available and be in touch as your planning year. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS CITED: A safe indoor and outdoor environment must be maintained at all times. Today, it was observed that one of the steps leading to the landing of the plastic climbing structure on the toddler playground is cracked, causing the steps to be unsafe for use with the children. For the safety of the children using this playground space, the cracked step must be fixed or replaced soon. REMINDERS: As discussed in detail today, you have an abundance of leaves and flower petals falling on daily basis on the playground spaces used with infants and toddlers. Although it is expected for these things to occur considering the season, I recommend that you put a system in place to have each playground blown off daily to ease the possibility of young children picking up these natural elements and placing them in their mouths. These leaves can be a choking hazard for children this age. Medication permission forms must be filled out completely and accurately. Prior to accepting medications, ensure parents are receiving support in completing the forms to ensure medications are used properly and teachers understand how to properly administer medications. C. Kernoodle’s CPR/FA expires at the end of April. Ensure new certification is received prior to expiration of current one. A monthly fire drill and playground inspection are due in April. Mulch on all playgrounds needs to be fluffed. 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. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/publichealth/asbestos-and-leadbased-paint-reimbursement-program-arpa. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 4/5/2024 Number Present: 23 Completed Date: 4/5/2024 Age: From 0 To 4 Total Minutes: 185 Time In: 08:30 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 94%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 10/10/2023 - Approved Fire inspection – 09/15/2023 - Facility was approved for daytime only Amy Feder, Administrator was present and available for consultation. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Spaces 1 and 6 are not in use due to staff shortage. Infants in Spaces 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 7 were transitioning from outdoor play to hand washing routines, followed by being seated for morning snack, which consisted of French toast sticks, strawberries and water. Children in spaces 2, 3 and 5 were engaged in free choice of learning centers. Children in space 4 were playing outdoors. Lunches are provided from home daily. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. One of the steps leading to the landing of the plastic climbing structure on the toddler playground is cracked, causing the steps to be unsafe for use with the children. 10A NCAC 09 .0601(a) 1329 Application for enrollment did not include all required information. Four children's enrollment applications were missing information including children's unique behavior characterisitics, health care concerns, fears, allergies and symptoms. .0801(a)(1-7) 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 April 15, 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. RATED LICENSE INFORMATION: I reminded you today that your program was assigned to Cohort 3 in the “cohort model” of resuming rated license assessments after June 30, 2024. Your planning/preparation year will be July 1, 2025-June 30, 2026, and your reassessment year will be July 1, 2026-June 30, 2027. As your facility will need to have the Environment Rating Scales (ERS) conducted, I encouraged you today to begin reviewing resources available at www.ncrlap.org and creating a plan of action for your reassessment. As you get closer to your planning year, you may also wish to contact Smart Start of New Hanover County or Region 4 CCR&R staff to assist with your ERS preparation. Today we also discussed that the way points are earned towards your star rated license may be different by the time your reassessment is due. I will share more information as it becomes available and be in touch as your planning year. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS CITED: A safe indoor and outdoor environment must be maintained at all times. Today, it was observed that one of the steps leading to the landing of the plastic climbing structure on the toddler playground is cracked, causing the steps to be unsafe for use with the children. For the safety of the children using this playground space, the cracked step must be fixed or replaced soon. REMINDERS: As discussed in detail today, you have an abundance of leaves and flower petals falling on daily basis on the playground spaces used with infants and toddlers. Although it is expected for these things to occur considering the season, I recommend that you put a system in place to have each playground blown off daily to ease the possibility of young children picking up these natural elements and placing them in their mouths. These leaves can be a choking hazard for children this age. Medication permission forms must be filled out completely and accurately. Prior to accepting medications, ensure parents are receiving support in completing the forms to ensure medications are used properly and teachers understand how to properly administer medications. C. Kernoodle’s CPR/FA expires at the end of April. Ensure new certification is received prior to expiration of current one. A monthly fire drill and playground inspection are due in April. Mulch on all playgrounds needs to be fluffed. 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. It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Please see steps below: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/publichealth/asbestos-and-leadbased-paint-reimbursement-program-arpa. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 39 Completed Date: 10/25/2023 Age: From 0 To 3 Total Minutes: 180 Time In: 08:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 10/10/2023 - Approved Fire inspection – 09/15/2023 - Facility was approved for daytime only A.Feder, Administrator was present. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants in Spaces 1, 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in spaces 2 and 3 were engaged in free play activities. Children in space 4, 5 and 7 were observed during outdoor play. Space 6 is not currently in use. Morning and afternoon snacks are provided by the program. Lunches are provided from home daily. The following violations were observed and must be corrected immediately: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Several safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, hired on August 15, 2023 had a medical report dated December 07, 2020, older than the 12 month requirement. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, hired on August 15, 2023, had an TB screening form dated December 01, 2020, older than the 12 month requirement. .0701(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 November 03, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS CITED: A safe indoor and outdoor environment must be maintained at all times. Today, several potential safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. These hazards must be corrected immediately. Until this violation is corrected, children may not use this playground space. New staff members are required to obtain a medical report and TB screening prior to employment that is less than 12 months old from the date of hire. Today, a review of new staff files showed that one staff member, hired in August 2023, had a medical report and TB screening form dated December 2020. This violation must be corrected. Moving forward, I would encourage that all forms presented to you are reviewed closely to ensure dates are in compliance with child care requirements. REMINDERS: Yellow caution tape is placed around the large climbing play structure on the playground used with preschool-aged children. Ms. Feder explained this took place due to the structure’s age and potential safety hazards. When asked, Ms. Feder seemed unclear as to what the program’s plan is for fixing, removing or replacing this piece of equipment. I requested that Ms. Feder reach out to J. Midgette, Executive Director, for a concrete explanation of what the program’s plans are regarding this piece. Email me a response upon receipt. A monthly fire drill is due in October. Mulch on all playground used with toddlers needs to be fluffed. To cut down on the spread of germs, staff members must remain diligent in wiping children’s noses, followed by proper handwashing for both staff and children. Ensure all boxes are checked to reflect the program’s policy when posting a copy of the safe sleep policy in infant classrooms. As discussed today, if staff members will be allowed to have their personal telephones in classrooms, it is your responsibility to find a system to ensure telephones are not being used for personal reasons while staff supervise children both indoors and outdoors. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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 .0701 · Violation

Name of Operation: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 39 Completed Date: 10/25/2023 Age: From 0 To 3 Total Minutes: 180 Time In: 08:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 10/10/2023 - Approved Fire inspection – 09/15/2023 - Facility was approved for daytime only A.Feder, Administrator was present. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants in Spaces 1, 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in spaces 2 and 3 were engaged in free play activities. Children in space 4, 5 and 7 were observed during outdoor play. Space 6 is not currently in use. Morning and afternoon snacks are provided by the program. Lunches are provided from home daily. The following violations were observed and must be corrected immediately: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Several safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, hired on August 15, 2023 had a medical report dated December 07, 2020, older than the 12 month requirement. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, hired on August 15, 2023, had an TB screening form dated December 01, 2020, older than the 12 month requirement. .0701(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 November 03, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS CITED: A safe indoor and outdoor environment must be maintained at all times. Today, several potential safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. These hazards must be corrected immediately. Until this violation is corrected, children may not use this playground space. New staff members are required to obtain a medical report and TB screening prior to employment that is less than 12 months old from the date of hire. Today, a review of new staff files showed that one staff member, hired in August 2023, had a medical report and TB screening form dated December 2020. This violation must be corrected. Moving forward, I would encourage that all forms presented to you are reviewed closely to ensure dates are in compliance with child care requirements. REMINDERS: Yellow caution tape is placed around the large climbing play structure on the playground used with preschool-aged children. Ms. Feder explained this took place due to the structure’s age and potential safety hazards. When asked, Ms. Feder seemed unclear as to what the program’s plan is for fixing, removing or replacing this piece of equipment. I requested that Ms. Feder reach out to J. Midgette, Executive Director, for a concrete explanation of what the program’s plans are regarding this piece. Email me a response upon receipt. A monthly fire drill is due in October. Mulch on all playground used with toddlers needs to be fluffed. To cut down on the spread of germs, staff members must remain diligent in wiping children’s noses, followed by proper handwashing for both staff and children. Ensure all boxes are checked to reflect the program’s policy when posting a copy of the safe sleep policy in infant classrooms. As discussed today, if staff members will be allowed to have their personal telephones in classrooms, it is your responsibility to find a system to ensure telephones are not being used for personal reasons while staff supervise children both indoors and outdoors. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 10/25/2023 Number Present: 39 Completed Date: 10/25/2023 Age: From 0 To 3 Total Minutes: 180 Time In: 08:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor compliance with applicable child care requirements pertinent to this visit type. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 95%. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. Sanitation Inspection – 10/10/2023 - Approved Fire inspection – 09/15/2023 - Facility was approved for daytime only A.Feder, Administrator was present. All approved indoor and outdoor spaces were monitored today. Daily schedules were available for each group of children. Activity plans were observed posted in each classroom. A variety of age-appropriate learning materials was observed in each classroom. Infants in Spaces 1, 8-9 received care based on individual need, including diapering, napping, and feeding routines. Infants not engaged in routine care were observed playing on the carpeted area with soft toys, and musical instruments while caregivers sat close by. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in spaces 2 and 3 were engaged in free play activities. Children in space 4, 5 and 7 were observed during outdoor play. Space 6 is not currently in use. Morning and afternoon snacks are provided by the program. Lunches are provided from home daily. The following violations were observed and must be corrected immediately: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Several safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member, hired on August 15, 2023 had a medical report dated December 07, 2020, older than the 12 month requirement. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member, hired on August 15, 2023, had an TB screening form dated December 01, 2020, older than the 12 month requirement. .0701(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 November 03, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. TECHNICAL ASSISTANCE RELATED TO VIOLATIONS CITED: A safe indoor and outdoor environment must be maintained at all times. Today, several potential safety hazards were observed on the playground used with mobile infants and toddlers. The wooden borders around the sand box are rotting and must be replaced. Two areas of the turf surfacing are falling through, causing tripping hazards. In one spot, the stakes are sticking up from the ground, causing possible injury to children using the area. These hazards must be corrected immediately. Until this violation is corrected, children may not use this playground space. New staff members are required to obtain a medical report and TB screening prior to employment that is less than 12 months old from the date of hire. Today, a review of new staff files showed that one staff member, hired in August 2023, had a medical report and TB screening form dated December 2020. This violation must be corrected. Moving forward, I would encourage that all forms presented to you are reviewed closely to ensure dates are in compliance with child care requirements. REMINDERS: Yellow caution tape is placed around the large climbing play structure on the playground used with preschool-aged children. Ms. Feder explained this took place due to the structure’s age and potential safety hazards. When asked, Ms. Feder seemed unclear as to what the program’s plan is for fixing, removing or replacing this piece of equipment. I requested that Ms. Feder reach out to J. Midgette, Executive Director, for a concrete explanation of what the program’s plans are regarding this piece. Email me a response upon receipt. A monthly fire drill is due in October. Mulch on all playground used with toddlers needs to be fluffed. To cut down on the spread of germs, staff members must remain diligent in wiping children’s noses, followed by proper handwashing for both staff and children. Ensure all boxes are checked to reflect the program’s policy when posting a copy of the safe sleep policy in infant classrooms. As discussed today, if staff members will be allowed to have their personal telephones in classrooms, it is your responsibility to find a system to ensure telephones are not being used for personal reasons while staff supervise children both indoors and outdoors. At the completion of this visit, the visit summary was reviewed, signed and a copy was left with you. Reach me with questions or 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 .0901 · Violation

Name of Operation: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: 1023-066L Visit Date: 10/12/2023 Number Present: 60 Completed Date: 10/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit is to investigate a report alleging violations of childcare requirements. Childcare requirements pertinent to this visit type were monitored. The allegation of this report was discussed with A. Feder, Administrator. You were given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 96%. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on April 13, 2023. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. All approved indoor spaces were visited today. Infants received care based on individual need, including diapering, napping and feeding routines. Infants not engaged in routine care were either held by staff members or moving about and playing freely. Toddlers and preschool aged children were observed finishing morning snack, which consisted of granola bar, bananas and water. Following morning snack, children were observed completing handwashing routines and transitioning to either group time or free play in centers. Staff/child ratios were monitored and found to be in compliance today. Allegation: There is a concern that a child was served a food item with a known allergy or dietary restriction. This report is specific to a one-year-old child enrolled in the mobile infant classroom. According to the reporter, on September 11, 2023, at approximately 3:30 pm, the parent walked into the classroom to find their child consuming goldfish, a food that the child is allergic to. Today, I interviewed both administrators as well as two staff members that worked with the child. Each staff member was interviewed individually. Everyone interviewed confirmed they were aware that the parents have requested that a dietary restriction be followed for their child. On August 23, 2023, the parents emailed administration a detailed note regarding a new diagnosis, which causes an allergic reaction to certain foods, including dairy such as milk, cheese, and yogurt. Ms. Feder stated she printed a copy of the note and discussed the dietary restrictions with staff members. Several staff members stated that a copy of the restrictions was posted behind the allergy list in the child’s classroom. I monitored the classroom today. An allergy posting was present, but the parent's note was not. On the afternoon of September 11, 2023, the child in question was provided goldfish for snack. According to the staff member present, she knew about the parent’s dietary restriction request but did not think about the fact that goldfish contained cheese. The parent became very upset at pick-up and discussed his concern with the staff member present. The staff member apologized and alerted administration to the incident. Program staff reached out to the parents via telephone and email, apologizing for the incident. The parents made the choice to disenroll the child from the program on October 7, 2023. Today, children's special diets or food allergies were not posted in the kitchen and two infant classrooms, as required by child care rules. I provided you and classroom staff with technical assistance as to the importance of having this information posted so it is clear to any staff member, including floaters that may alternate between classrooms. Based on interviews with staff and my investigation, this allegation was substantiated. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Special diet or food allergy information was not posted in the kitchen and two infant classrooms as required. .0901(g) 509 Food required for any special diet was not provided by parent or center. On September 11, 2023, at approximately 3:30 pm, a parent walked into the classroom to find their one-year-old child consuming goldfish. The food was part of a dietary restriction for the child. .0901(h) 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 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If 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 ASSITANCE REGARDING VIOLATIONS CITED: Rule 10A NCAC 09 .0901 in North Carolina Child Care Rules states that children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. If there are no current allergies for children in the facility, a statement stating there are no food allergies at this time should be posted in the food preparation area at the facility. Regarding special diets – moving forward, I encourage you to gather as much information as possible from the child’s parent regarding the child’s food allergies and/or special diet. Special diet would include dietary requirements due to allergies or other medical issues, or could be for religious reasons. Staff members should also know what to look for if a child has an allergic reaction and what measures should be taken in case of accidental exposure. Ask parents to provide a written emergency treatment plan to be followed in the event a child has an allergic reaction. The plan should include a list of all allergens, signs of an allergy reaction, and types and doses of medications to be used. Identify a protocol for an emergency and include contact information for the child’s doctor. Staff should be particularly aware and on alert during special events such as birthday parties and seasonal celebrations. OTHER: On October 09, 2023, I received a FYI report from an intake consultant with the Division of Child Development and Early Education. The information received was based on a self-report made by Ms. Feder. This information was reviewed with Ms. Feder again today. She was given the opportunity to share her perceptions and ask questions. She stated she did not have further questions regarding the self-report. Feel free to reach out to me with concerns or questions. REMINDER: Records were not kept accurate. I reviewed the one-year-old child’s file today. The medical report and enrollment application did not indicate dietary restrictions or allergies. I also reviewed the child’s ProCare Solutions profile page. This is an electronic software provided to parents as an easy way to communicate regarding their child’s daily activities and additional information. The profile page provided space for listing dietary restrictions, and allergies but none were listed. We discussed at length the importance of updating records to reflect changes regarding the child’s needs and health concerns. It is your responsibility to remain diligent in ensuring children are safe and healthy while in your care. Currently, the program provides morning and afternoon snacks while parents bring lunch from home. Ms. Feder stated that following the incident on September 11, 2023, the parents verbally told administration that they will provide all meals for their child. An opt out form was not present in the child’s file. As a reminder, we discussed that until an opt out form is completed by parents, the program will be held responsible to continue providing meals for children. At the completion of the visit, this visit summary was reviewed, signed and a copy was left with you. Reach me at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov with questions/concerns. 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: CHILDREN'S COTTAGE OF WILMINGTON Facility ID: 65001061 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: 1023-066L Visit Date: 10/12/2023 Number Present: 60 Completed Date: 10/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 08:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of my unannounced visit is to investigate a report alleging violations of childcare requirements. Childcare requirements pertinent to this visit type were monitored. The allegation of this report was discussed with A. Feder, Administrator. You were given the opportunity to state your perceptions of the allegation and to share any pertinent information. This facility currently operates with a Three-Star license issued December 01, 2022, earning 4 points in Education, 2 points in Program, and 1 quality point for choosing a Programmatic Option. Prior to this visit, the facility’s eighteen-month compliance history was 96%. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on April 13, 2023. According to the Secretary of State’s website, the corporation’s status, Premier NC Wilmington LLC is current and active. All approved indoor spaces were visited today. Infants received care based on individual need, including diapering, napping and feeding routines. Infants not engaged in routine care were either held by staff members or moving about and playing freely. Toddlers and preschool aged children were observed finishing morning snack, which consisted of granola bar, bananas and water. Following morning snack, children were observed completing handwashing routines and transitioning to either group time or free play in centers. Staff/child ratios were monitored and found to be in compliance today. Allegation: There is a concern that a child was served a food item with a known allergy or dietary restriction. This report is specific to a one-year-old child enrolled in the mobile infant classroom. According to the reporter, on September 11, 2023, at approximately 3:30 pm, the parent walked into the classroom to find their child consuming goldfish, a food that the child is allergic to. Today, I interviewed both administrators as well as two staff members that worked with the child. Each staff member was interviewed individually. Everyone interviewed confirmed they were aware that the parents have requested that a dietary restriction be followed for their child. On August 23, 2023, the parents emailed administration a detailed note regarding a new diagnosis, which causes an allergic reaction to certain foods, including dairy such as milk, cheese, and yogurt. Ms. Feder stated she printed a copy of the note and discussed the dietary restrictions with staff members. Several staff members stated that a copy of the restrictions was posted behind the allergy list in the child’s classroom. I monitored the classroom today. An allergy posting was present, but the parent's note was not. On the afternoon of September 11, 2023, the child in question was provided goldfish for snack. According to the staff member present, she knew about the parent’s dietary restriction request but did not think about the fact that goldfish contained cheese. The parent became very upset at pick-up and discussed his concern with the staff member present. The staff member apologized and alerted administration to the incident. Program staff reached out to the parents via telephone and email, apologizing for the incident. The parents made the choice to disenroll the child from the program on October 7, 2023. Today, children's special diets or food allergies were not posted in the kitchen and two infant classrooms, as required by child care rules. I provided you and classroom staff with technical assistance as to the importance of having this information posted so it is clear to any staff member, including floaters that may alternate between classrooms. Based on interviews with staff and my investigation, this allegation was substantiated. The following violations were observed today and must be corrected immediately: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Special diet or food allergy information was not posted in the kitchen and two infant classrooms as required. .0901(g) 509 Food required for any special diet was not provided by parent or center. On September 11, 2023, at approximately 3:30 pm, a parent walked into the classroom to find their one-year-old child consuming goldfish. The food was part of a dietary restriction for the child. .0901(h) 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 20, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If 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 ASSITANCE REGARDING VIOLATIONS CITED: Rule 10A NCAC 09 .0901 in North Carolina Child Care Rules states that children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. If there are no current allergies for children in the facility, a statement stating there are no food allergies at this time should be posted in the food preparation area at the facility. Regarding special diets – moving forward, I encourage you to gather as much information as possible from the child’s parent regarding the child’s food allergies and/or special diet. Special diet would include dietary requirements due to allergies or other medical issues, or could be for religious reasons. Staff members should also know what to look for if a child has an allergic reaction and what measures should be taken in case of accidental exposure. Ask parents to provide a written emergency treatment plan to be followed in the event a child has an allergic reaction. The plan should include a list of all allergens, signs of an allergy reaction, and types and doses of medications to be used. Identify a protocol for an emergency and include contact information for the child’s doctor. Staff should be particularly aware and on alert during special events such as birthday parties and seasonal celebrations. OTHER: On October 09, 2023, I received a FYI report from an intake consultant with the Division of Child Development and Early Education. The information received was based on a self-report made by Ms. Feder. This information was reviewed with Ms. Feder again today. She was given the opportunity to share her perceptions and ask questions. She stated she did not have further questions regarding the self-report. Feel free to reach out to me with concerns or questions. REMINDER: Records were not kept accurate. I reviewed the one-year-old child’s file today. The medical report and enrollment application did not indicate dietary restrictions or allergies. I also reviewed the child’s ProCare Solutions profile page. This is an electronic software provided to parents as an easy way to communicate regarding their child’s daily activities and additional information. The profile page provided space for listing dietary restrictions, and allergies but none were listed. We discussed at length the importance of updating records to reflect changes regarding the child’s needs and health concerns. It is your responsibility to remain diligent in ensuring children are safe and healthy while in your care. Currently, the program provides morning and afternoon snacks while parents bring lunch from home. Ms. Feder stated that following the incident on September 11, 2023, the parents verbally told administration that they will provide all meals for their child. An opt out form was not present in the child’s file. As a reminder, we discussed that until an opt out form is completed by parents, the program will be held responsible to continue providing meals for children. At the completion of the visit, this visit summary was reviewed, signed and a copy was left with you. Reach me at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov with questions/concerns. 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