Milestones Learning Center

G.S. 110-90 · Violation

Name of Operation: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 111 Completed Date: 9/23/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Mary Courtney Warren, Director, assisted me with the visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted October 10, 2024. The sanitation inspection was completed May 14, 2025, with a “Superior” classification. The last fire inspection was conducted January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 93%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You visited indoor and outdoor spaces with me. Infants in spaces 1 and 2 received care according to individual needs including transitions, bottle feeding, and free play. Safe sleep requirements were monitored and found in compliance. Preschool aged children in all other spaces participated in free play with age-appropriate materials and activities both indoors and outdoors or they ate morning snack that consisted of biscuits and milk. Appropriate handwashing practices were observed. All activity plans were posted, and evidence of NC Early Childhood Foundations was present. Staff engaged in informal conversations with the children and children were tended to in a nurturing and caring manner. The following violation was observed and corrected during the visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer in space 9 (turtles) was not stored a minimum of 5 feet out of reach or in a locked cabinet/room. .2820(b) 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. Technical Assistance: Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Today I suggested that administration check all classrooms for hazardous items at the start of each day. Reminders: A. McCaslin needs 1.5 on-going training hours by October 10, 2025. You must email me once her training hours are completed. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed in June 2024. • Lead-Based Paint-June 2024 - exempt • Asbestos-June 2024 - no concerns Ensure you keep all paperwork that you receive regarding this matter, and it may be requested to verify compliance. Use this link to view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 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. 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. Rated License: The “hold harmless” state of rated license reassessments has ended and the new Quality Rating Improvement System standards are forthcoming. This means that you will not be required to have a reassessment according to the timelines discussed previously; however, you may request one voluntarily. Today I encouraged you to review information on our website under the QRIS Modernization Plan. North Carolina Rated License Assessment Project (NCRLAP): As of February 1, 2025, the new and improved Environment Rating Scales – Third Additions will be implemented. Today we discussed the purchase of the new tools, training opportunities, and the NCRLAP website. Please visit www.ncrlap.org for more information and start training your staff now on this new tool! Outreach assessments on the new tools are available now. At the completion of the visit, this visit summary was reviewed, signed, and left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions and/or 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: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 9/23/2025 Number Present: 111 Completed Date: 9/23/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:45 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Mary Courtney Warren, Director, assisted me with the visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted October 10, 2024. The sanitation inspection was completed May 14, 2025, with a “Superior” classification. The last fire inspection was conducted January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 93%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You visited indoor and outdoor spaces with me. Infants in spaces 1 and 2 received care according to individual needs including transitions, bottle feeding, and free play. Safe sleep requirements were monitored and found in compliance. Preschool aged children in all other spaces participated in free play with age-appropriate materials and activities both indoors and outdoors or they ate morning snack that consisted of biscuits and milk. Appropriate handwashing practices were observed. All activity plans were posted, and evidence of NC Early Childhood Foundations was present. Staff engaged in informal conversations with the children and children were tended to in a nurturing and caring manner. The following violation was observed and corrected during the visit. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Hand sanitizer in space 9 (turtles) was not stored a minimum of 5 feet out of reach or in a locked cabinet/room. .2820(b) 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. Technical Assistance: Please review child care rules regarding storage and accessibility of potentially hazardous items. Items labeled “Keep out of reach of children” with no other warnings must be stored at a minimum of five feet off the floor. Hazardous cleaning supplies, including those kept under pressure in an aerosol can, as well as medications must be kept in locked storage. The definition of locked storage requires that the lock be unlocked with some type of device such as a key or combination. Regular childproofing locks do not meet this requirement. Ensure that all cleaning supplies and other items labeled “Keep out of reach of children” are kept inaccessible while children are in care. Today I suggested that administration check all classrooms for hazardous items at the start of each day. Reminders: A. McCaslin needs 1.5 on-going training hours by October 10, 2025. You must email me once her training hours are completed. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed in June 2024. • Lead-Based Paint-June 2024 - exempt • Asbestos-June 2024 - no concerns Ensure you keep all paperwork that you receive regarding this matter, and it may be requested to verify compliance. Use this link to view test results/status: https://www.cleanwaterforuskids.org/en/carolina/ 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. 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. Rated License: The “hold harmless” state of rated license reassessments has ended and the new Quality Rating Improvement System standards are forthcoming. This means that you will not be required to have a reassessment according to the timelines discussed previously; however, you may request one voluntarily. Today I encouraged you to review information on our website under the QRIS Modernization Plan. North Carolina Rated License Assessment Project (NCRLAP): As of February 1, 2025, the new and improved Environment Rating Scales – Third Additions will be implemented. Today we discussed the purchase of the new tools, training opportunities, and the NCRLAP website. Please visit www.ncrlap.org for more information and start training your staff now on this new tool! Outreach assessments on the new tools are available now. At the completion of the visit, this visit summary was reviewed, signed, and left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions and/or 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: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 131 Completed Date: 4/7/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 08:50 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 today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted October 10, 2024. The sanitation inspection was completed August 21, 2024, with a “Superior” classification. The last fire inspection was conducted January 28, 2025, and your facility was approved for daytime care only. Prior to the visit the compliance history score was 92%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You, Mary Courtney Warren, Director, were available for consultation for this visit. Ten classrooms are operating with one hundred and fifty-one (151) children enrolled and one hundred thirty-one (131) children present. All children were appropriately supervised. 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. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, children were observed participating in free play indoor and outdoors with age-appropriate materials and activities or they were having routine care needs met such as feedings, and toileting/diapering. Snack served today consisted of French toast sticks and milk. Eight (8) new staff member have been hired since the last annual compliance. Files were monitored and found in compliance. The following violation was observed and must be corrected immediately: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An emergency inhaler permission form in space 9 (sea turtles) expired in February 2025. .0803(12) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance for violation cited: Be reminded that the chronic medication administration forms are only valid for six months. We discussed today setting reminders on Outlook calendars, Smart Phones, or posting expiration dates near where the medication is stored. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously; however, you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. North Carolina Rated License Assessment Project (NCRLAP): As of February 1, 2025, the new and improved Environment Rating Scales – Third Additions will be implemented. Today we discussed the purchase of the new tools, training opportunities, and the NCRLAP website. Please visit www.ncrlap.org for more information and start training your staff now on this new tool! Outreach assessments on the new tools are available now. At the completion of the visit, this visit summary was reviewed, signed, and left with you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/10/2024 Number Present: 125 Completed Date: 10/10/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 08:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Layne Smith, Owner, assisted me with the visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted October 16, 2024. The sanitation inspection was completed August 21, 2024, with a “Superior” classification. The last fire inspection was conducted January 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 93%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You visited indoor and outdoor spaces with me. Infants in spaces 1 and 2 received care according to individual needs including nap transitions, bottle feeding, and free play. Safe sleep requirements were monitored and found in compliance. Preschool aged children in all other spaces participated in free play with age-appropriate materials and activities. Appropriate handwashing practices were observed. All activity plans were posted, and evidence of NC Early Childhood Foundations was present. Lunch consisted of beans, hot dogs, cucumbers, whole grain rolls, and milk. One violation was observed and corrected during the visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Leftover diaper cream was not returned to the parent after the course of the treatment, it was discarded today. .0803(12) 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. Since the violation was corrected immediately, a compliance letter is not due to me at this time. Technical Assistance: When no longer needed by the child, or when the child withdraws from the program, all medications should be returned to the child’s parent/guardian or disposed of after an attempt to reach parent/guardian within 72 hours of completion of treatment. Reminders: A shelter-in-place or lockdown drill is due this month. The refrigerators in spaces 4 and space 5 need to be cleaned. Rated License: The “hold harmless” state of rated license reassessments has been extended until the new Quality Rating Improvement System standards are put in place. This means that you will not be required to have a reassessment according to the timelines discussed previously, however you may request one voluntarily. Today I encouraged you to review information about the new standards as it becomes available and to plan on training your staff on the new assessment tools if you are interested in Environment Rating Scales assessments. I will share more information as I am able. At the completion of the visit, this visit summary was reviewed, electronically signed and emailed to you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL BOSSE Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 134 Completed Date: 3/28/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted by Child Care Consultant April Bosse on behalf of your Child Care Consultant April Lester. The last annual compliance visit was conducted October 16, 2023. The sanitation inspection was completed September 18, 2023, with a “Superior” classification. The last fire inspection was conducted January 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 94%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You, Kendra Murphy, Director, were available for consultation for this visit. Ten classrooms are operating with one hundred and forty-nine children enrolled and one hundred thirty-four children present. All children were appropriately supervised. 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. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Spaces 1 were observed sleeping in appropriate cribs, exploring the environment, and completing routine tasks with a caregiver. Toddlers in Spaces 2 and 3 were engaged in gross motor play in the classroom, throwing balls, and playing musical instruments. Two-year-old children in Spaces 4 and 5 were engaged in activity areas with puzzles, dancing to music, and shaking rattles. Three-year-old children in Space 6 were engaged in activity areas building blocks, pretending to cook, and washing baby dolls in a water sensory table. Children in Space 7 were engaged in group time reading books and playing search and find with books. Preschool children in Space 8 were engaged with caregivers drawing with markers and playing a ball toss game together. Preschool children in Space 9 were engaged in group time discussing letter bags. Preschool children in Space 10 were engaged in activity areas pretending to be on an egg hunt, drawing with crayons on large egg cut outs, and engaged in a spring sensory table. Lunch served today consisted of chicken nuggets, French fries, green beans, roll, and milk. One new staff member was hired since the last annual compliance. Files were monitored and found in compliance. The following violations were observed and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen in Space 10 was not in the original labeled container. .0803(2)(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an epi-pen in Space 10 was not updated on an annual basis. .0801(b) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 11, 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: April Bosse, Child Care Consultant April.bosse@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance for violation cited: Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. The epi-pen medication in Space 10 was not stored in the prescription box with a pharmacy label on the original container. Today we discussed that all prescription medications must be stored in the prescription box or have the pharmacy label on them so that we can confirm that the medication belongs to the child enrolled. You stated today that you would have the parents obtain the label for the medication. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be submitted. The medical action plan shall be completed by the child's parent or a health care professional. As we discussed today, this plan is valid for one year. The action plan in Space 10 was signed on 12/5/22 and therefore expired on 12/5/23. The medication administration form is valid for six months. We discussed today that this form gives you permission to give the medication from the parents or guardian for six months. Technical Assistance: Today there was a fan in the Preschool room that was not in use. We discussed reminding staff if they did use the fan that it will need to be 5 feet off the floor at all times or there will need to be a net added to the outside to ensure that children cannot access the blades. Reminders: Childcare licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. At the completion of the visit, this visit summary was reviewed, and signed. Contact me at April Bosse, Child Care Consultant, 910-709-4196, April.bosse@dhhs.nc.gov you many also contact: April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or my Supervisor Lynette Robbins, Licensing Supervisor, 910-824-0235, lynette.robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL BOSSE Operation Type: Center Case Number: Visit Date: 3/28/2024 Number Present: 134 Completed Date: 3/28/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Today’s visit was conducted by Child Care Consultant April Bosse on behalf of your Child Care Consultant April Lester. The last annual compliance visit was conducted October 16, 2023. The sanitation inspection was completed September 18, 2023, with a “Superior” classification. The last fire inspection was conducted January 9, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 94%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You, Kendra Murphy, Director, were available for consultation for this visit. Ten classrooms are operating with one hundred and forty-nine children enrolled and one hundred thirty-four children present. All children were appropriately supervised. 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. Infants received care based on their individual needs. Infant feeding charts are current and up to date and safe sleep charts are being maintained. During today’s visit, infants in Spaces 1 were observed sleeping in appropriate cribs, exploring the environment, and completing routine tasks with a caregiver. Toddlers in Spaces 2 and 3 were engaged in gross motor play in the classroom, throwing balls, and playing musical instruments. Two-year-old children in Spaces 4 and 5 were engaged in activity areas with puzzles, dancing to music, and shaking rattles. Three-year-old children in Space 6 were engaged in activity areas building blocks, pretending to cook, and washing baby dolls in a water sensory table. Children in Space 7 were engaged in group time reading books and playing search and find with books. Preschool children in Space 8 were engaged with caregivers drawing with markers and playing a ball toss game together. Preschool children in Space 9 were engaged in group time discussing letter bags. Preschool children in Space 10 were engaged in activity areas pretending to be on an egg hunt, drawing with crayons on large egg cut outs, and engaged in a spring sensory table. Lunch served today consisted of chicken nuggets, French fries, green beans, roll, and milk. One new staff member was hired since the last annual compliance. Files were monitored and found in compliance. The following violations were observed and must be corrected immediately: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen in Space 10 was not in the original labeled container. .0803(2)(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an epi-pen in Space 10 was not updated on an annual basis. .0801(b) 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 violations documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 11, 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: April Bosse, Child Care Consultant April.bosse@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance for violation cited: Child Care Rule 10A NCAC 09 .0803 states prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. The epi-pen medication in Space 10 was not stored in the prescription box with a pharmacy label on the original container. Today we discussed that all prescription medications must be stored in the prescription box or have the pharmacy label on them so that we can confirm that the medication belongs to the child enrolled. You stated today that you would have the parents obtain the label for the medication. For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be submitted. The medical action plan shall be completed by the child's parent or a health care professional. As we discussed today, this plan is valid for one year. The action plan in Space 10 was signed on 12/5/22 and therefore expired on 12/5/23. The medication administration form is valid for six months. We discussed today that this form gives you permission to give the medication from the parents or guardian for six months. Technical Assistance: Today there was a fan in the Preschool room that was not in use. We discussed reminding staff if they did use the fan that it will need to be 5 feet off the floor at all times or there will need to be a net added to the outside to ensure that children cannot access the blades. Reminders: Childcare licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times whether or not they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. DCDEE launched the Provider Portal for ABCMS on February 1, 2024. This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Access will then be granted within 2 business days. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. At the completion of the visit, this visit summary was reviewed, and signed. Contact me at April Bosse, Child Care Consultant, 910-709-4196, April.bosse@dhhs.nc.gov you many also contact: April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or my Supervisor Lynette Robbins, Licensing Supervisor, 910-824-0235, lynette.robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MILESTONES LEARNING CENTER Facility ID: 65000734 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 116 Completed Date: 10/16/2023 Age: From 0 To 5 Total Minutes: 205 Time In: 08:50 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Kendra Murphy, Director, assisted me with the visit. Your program currently operates with a five-star license, issued May 19, 2022, earning 7 points in the education component, 7 points in the program standards component meeting enhanced space and ratios and 1 quality point for having enhanced policies and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted November 1, 2022. The sanitation inspection was completed September 18, 2023, with a “Superior” classification. The last fire inspection was conducted January 9, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator and prior to today’s visit the compliance history score was 94%. The NC Secretary of State website was reviewed today and Milestones Learning Center, LLC was listed as current- active. You visited indoor and outdoor spaces with me. Infants in spaces 1 and 2 received care according to individual needs including nap transitions, bottle feeding, and free play. Safe sleep requirements were monitored and found in compliance. Children enrolled in spaces 3, 4, 5, and 8 were observed in outdoor free play. Staff actively supervised children during play. Children in spaces 6, 7, and 9 participated in free play with age-appropriate materials and activities. Preschool aged children in space 10 ate morning snack. Appropriate handwashing practices were observed. All activity plans were posted, and evidence of NC Early Childhood Foundations was present. Lunch consisted of Salisbury steak, mashed potatoes, peas, whole wheat rolls, and milk. The following violations were documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The cabinet in space 8 that housed aerosol was not locked. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Diaper creams stored in a drawer below 5 feet in height was not locked in space 3. 15A NCAC 18A .2820(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. Since the violation was corrected immediately, a compliance letter is not due to me at this time. Technical Assistance: Today, cabinets housing aerosol spray and drawers housing diaper creams were not remained locked at all times. Staff must ensure these cabinets and drawers are locked at all times. You have recently had the mulch replenished with triple shredded mulch. Today we discussed how this type of mulch decomposes more quickly than playground mulch which is going to require you to fluff the mulch more frequently to maintain it’s integrity. Reminders: The following staff need on-going hours before November 1, 2023. You must email certificates of completion of on-going training hours. M. Juskins – 7; M. Robbins - .5, S. Ciamillo – 4; K. Howell – 10; M. Warren – 1.5; K. Blackmon – 2; J. Fossett – 4.5 Melissa McEntire’s provisional criminal records background check qualification letter will expire November 4, 2023. If you have not received her permanent qualification letter by November 4, 2023 she may not return to work. At the completion of the visit, this visit summary was reviewed, electronically signed and emailed to you. Contact me at April Lester, Child Care Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Lynette Robbins, Licensing Supervisor, 910-824-0235, Lynette.Robbins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times