Primrose School OF Wilmington AT Medical Center

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: 0226-276L Visit Date: 3/3/2026 Number Present: 113 Completed Date: 3/3/2026 Age: From 0 To 5 Total Minutes: 135 Time In: 10:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to follow up on information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children are not being adequately supervised. This program is accredited through COGNIA and currently operates with a Five Star License that was issued on July 18, 2024. Restrictions on the permit include: daytime care only. Samantha Darling, Director, and Joyce McDonald, Assistant Director, were present and available for consultation. Prior to the visit the compliance history score was 94%. In addition to the allegation, supervision, staff/child ratios, adequate/approved space, and permit restrictions were monitored. Staff files for new staff hired since the last monitoring visit were monitored for compliance. There were one-hundred twenty-seven (127) children enrolled and one-hundred thirteen (113) were present today ranging from 0 through 5 years of age. I observed the indoor and outdoor space used by the children. I observed the teachers caring for children in a nurturing and caring manner. Children were observed participating in free play indoors with age-appropriate materials and activities. The allegation was reviewed with administration, and various staff members. Everyone was given the opportunity to state their perceptions of the allegation. The facility does not have video surveillance. Allegation: There are concerns that children are not being adequately supervised. ***Per administration report, on February 25, 2026, a parent arrived to pick up her child who was 2 years of age from space 4, and the child could not be found in the classroom. A staff member in charge of the group of children immediately checked the playground and found the child on the infant playground, alone and unsupervised. I reviewed both statements of the staff members in charge of this group of 2-year-olds. They stated that name to face recognition was done prior to entering the building but not after entering the building. They stated that the 2-year-old child must have walked away from the group as they were transitioning back into the building. Both staff members stated that the child was left unsupervised on the infant playground for no more than 3 minutes. The employment of the staff members in charge of the 2-year-olds in Space 4 were immediately terminated from employment. Based on my investigation, observations, and staff report, this allegation is confirmed. Administration took immediate action by terminating the employment of both staff responsible for the child. The facility created a corrective action plan stating the details of the incident. Statements from both staff members were recorded and are on file. The facility ensured the child was unharmed, and the facility reported the incident to the agency. The child is still enrolled in the facility. Active supervision and transition expectations have been reviewed with all staff verbally. A mandatory staff meeting is scheduled for March 4, 2026, to re-train all staff on supervision policy and procedures. The agenda for the staff meeting includes: Review of the incident Review of NCDCDEE supervision requirements A deep dive into active supervision New transition protocol walkthrough Liability and professional responsibility Staff acknowledgement and documentation Administration also plans to do weekly administrative observations of playground transitions for the next 30 days, monthly supervision compliance checks, maintain documentation for DCDEE review of these compliance checks, and supervision training integrated into new hire onboarding. The following violation was documented and has been corrected. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On February 25, 2026, a child 2 years of age was left unsupervised on the infant playground for approximately 3 minutes. .1801(a)(1-5) 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. An administrative action may be issued based on a confirmed allegation and a return visit will be made to verify correction of the violation. Technical Assistance: A violation was documented related to supervision was documented. Violations of this nature directly impact the safety of the children while in your care. In addition, these types of violations have the greatest negative impact on your compliance history. As discussed, supervision is paramount to quality child care as it is basic to the safety of children and the prevention of injury while maintaining quality child care. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing/bullying/inappropriate topics discussed, or inappropriate behavior. Today we discussed the importance of children never being left unsupervised. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at April Lester, Child Care Licensing Consultant, 910-824-0954, april.lester@dhhs.nc.gov or Kim Sherry, Licensing Supervisor, 910-824-0470, kim.sherry@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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 86 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 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 compliance with applicable child care requirements. Limited child care requirements pertinent to this visit type were monitored. Child Care Consultant, Heather Elliott, assisted with the visit today. This program is accredited through COGNIA and currently operates with a Five Star License that was issued on July 18, 2024. Restrictions on the permit include: daytime care only. Samantha Darling, Director, and Joyce McDonald, Assistant Director, were present and available for consultation. As of 10/20/2025, this facility has an 18-month compliance history of 93%. Child Care programs are expected to always achieve and maintain compliance 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 NC Secretary of State website was reviewed today, and Ace Learning LLC was listed as current-active. The last annual compliance visit was conducted on 04/21/2025. Six (6) new staff have been hired since the last monitoring visit and their files were monitored today. Sanitation Inspection – 07/20/25 – 0 Demerits – Superior Classification Fire Inspection – 10/09/24 – Approved for day time care only. Today Joyce McDonald, Assistant Director stated they inspection is scheduled for tomorrow, 10/22/25. There are eleven (11) indoor spaces, and three (3) outdoor spaces approved for use. There are one hundred fifteen (115) children enrolled and eighty-six (86) children, ages 0-5, who were present today. Accurate attendance records were observed in each classroom. Infants in spaces A1 and A2 had routine care needs met such as morning meals or participated in free play with age appropriate materials and activities. Toddlers in spaces B1 and B2 also participated in free play indoors and outdoors. Preschool children in spaces EPS1, EPS2, PS1, PS2, PK1, PK2, and Pthw were observed participating in free choice activities indoors and outdoors; teachers were on the floor engaging with their children as they played. Free choice activities included magnetic blocks, sensory tables, art, dramatic play, and blocks. Today’s lunch consisted of whole grain cheese pizza, salad, mixed fruit, and milk. Each classroom had spaces arranged into activity areas that included art, blocks, science, library, dramatic play, and manipulatives. A variety of age-appropriate learning materials were accessible and observed in each classroom. Activity plans and daily schedules were available for each group of children and observed posted outside of each classroom. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violations were observed. Violations must be corrected immediately. Continued compliance with all applicable child care requirements is always required. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 9, 2024. 10A NCAC 09 .0304(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) diaper creams were observed in space 9 (pthwy) without written permission. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A diaper cream in space 9 (pthwy) expired September 2025. 10A NCAC 09 .0803(1)(d) 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 petroleum ointment in space 1 (EPS1) was not returned to the parent or discarded after the course of the treatment. .0803(12) For your facility to remain in compliance with NC Child Care Requirements, violation must be corrected immediately. On or before November 4, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. The time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. 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. Email me your letter of compliance to april.lester@dhhs.nc.gov Technical Assistance: I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Regarding medication authorizations, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Fire inspections must be obtained annually. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: To safely lift infants, always support their head and neck with one hand and their bottom with the other; slide one hand under their head and neck, and the other hand under their bottom, then scoop them up close to your body. When lifting an older baby or toddler, bend your knees, keep your back straight, and use your legs, not your back, to lift, and avoid lifting them by their arms or armpits. We discussed ensuring 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 will be updated by the parent. It is important that the plan is updated as soon as the parent or guardian makes any changes. It is also 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. Other Information: Today we discussed Child Care Rule .3207(i) Accredited, Head Start and Early Head Start facilities shall meet the staff/child ratio requirements of the organization when required to obtain and maintain the accreditation or designation. If a facility may receive an accreditation award or Head Start designation without adhering to the accreditation standards or Head Start performance standards, the facility shall meet the organization's staff/child ratio standard or enhanced staff/child ratio requirements specified in Rule .3208 of this Section. You had minimum staff/child ratio posted in each classroom; however, you stated most classrooms use a reduced ratio. Today I had you print off the "Classroom Staff to Child Ratio for Accreditation or Head Start" form to begin utilizing in all spaces. You stated you understood this requirement and will begin implementing the enhanced reduced ratios in all classrooms. Criminal Background Check Information – the program has completed the required ABCMS training and is currently using the ABCMS Provider Portal to update information at facilities by verifying the 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. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on 03/08/25. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A 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/ Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Today we had a conversation on the facility’s plan on moving forward with their 2-5 Star Rated License. That document is attached to this visit summary. Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders - 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/ Documentation was completed electronically on site, signed, and left with you today. Please remember it is your responsibility to always comply with all child care rules and requirements. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 with any questions 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

10A NCAC 09 .0304 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 86 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 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 compliance with applicable child care requirements. Limited child care requirements pertinent to this visit type were monitored. Child Care Consultant, Heather Elliott, assisted with the visit today. This program is accredited through COGNIA and currently operates with a Five Star License that was issued on July 18, 2024. Restrictions on the permit include: daytime care only. Samantha Darling, Director, and Joyce McDonald, Assistant Director, were present and available for consultation. As of 10/20/2025, this facility has an 18-month compliance history of 93%. Child Care programs are expected to always achieve and maintain compliance 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 NC Secretary of State website was reviewed today, and Ace Learning LLC was listed as current-active. The last annual compliance visit was conducted on 04/21/2025. Six (6) new staff have been hired since the last monitoring visit and their files were monitored today. Sanitation Inspection – 07/20/25 – 0 Demerits – Superior Classification Fire Inspection – 10/09/24 – Approved for day time care only. Today Joyce McDonald, Assistant Director stated they inspection is scheduled for tomorrow, 10/22/25. There are eleven (11) indoor spaces, and three (3) outdoor spaces approved for use. There are one hundred fifteen (115) children enrolled and eighty-six (86) children, ages 0-5, who were present today. Accurate attendance records were observed in each classroom. Infants in spaces A1 and A2 had routine care needs met such as morning meals or participated in free play with age appropriate materials and activities. Toddlers in spaces B1 and B2 also participated in free play indoors and outdoors. Preschool children in spaces EPS1, EPS2, PS1, PS2, PK1, PK2, and Pthw were observed participating in free choice activities indoors and outdoors; teachers were on the floor engaging with their children as they played. Free choice activities included magnetic blocks, sensory tables, art, dramatic play, and blocks. Today’s lunch consisted of whole grain cheese pizza, salad, mixed fruit, and milk. Each classroom had spaces arranged into activity areas that included art, blocks, science, library, dramatic play, and manipulatives. A variety of age-appropriate learning materials were accessible and observed in each classroom. Activity plans and daily schedules were available for each group of children and observed posted outside of each classroom. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violations were observed. Violations must be corrected immediately. Continued compliance with all applicable child care requirements is always required. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 9, 2024. 10A NCAC 09 .0304(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) diaper creams were observed in space 9 (pthwy) without written permission. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A diaper cream in space 9 (pthwy) expired September 2025. 10A NCAC 09 .0803(1)(d) 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 petroleum ointment in space 1 (EPS1) was not returned to the parent or discarded after the course of the treatment. .0803(12) For your facility to remain in compliance with NC Child Care Requirements, violation must be corrected immediately. On or before November 4, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. The time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. 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. Email me your letter of compliance to april.lester@dhhs.nc.gov Technical Assistance: I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Regarding medication authorizations, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Fire inspections must be obtained annually. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: To safely lift infants, always support their head and neck with one hand and their bottom with the other; slide one hand under their head and neck, and the other hand under their bottom, then scoop them up close to your body. When lifting an older baby or toddler, bend your knees, keep your back straight, and use your legs, not your back, to lift, and avoid lifting them by their arms or armpits. We discussed ensuring 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 will be updated by the parent. It is important that the plan is updated as soon as the parent or guardian makes any changes. It is also 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. Other Information: Today we discussed Child Care Rule .3207(i) Accredited, Head Start and Early Head Start facilities shall meet the staff/child ratio requirements of the organization when required to obtain and maintain the accreditation or designation. If a facility may receive an accreditation award or Head Start designation without adhering to the accreditation standards or Head Start performance standards, the facility shall meet the organization's staff/child ratio standard or enhanced staff/child ratio requirements specified in Rule .3208 of this Section. You had minimum staff/child ratio posted in each classroom; however, you stated most classrooms use a reduced ratio. Today I had you print off the "Classroom Staff to Child Ratio for Accreditation or Head Start" form to begin utilizing in all spaces. You stated you understood this requirement and will begin implementing the enhanced reduced ratios in all classrooms. Criminal Background Check Information – the program has completed the required ABCMS training and is currently using the ABCMS Provider Portal to update information at facilities by verifying the 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. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on 03/08/25. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A 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/ Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Today we had a conversation on the facility’s plan on moving forward with their 2-5 Star Rated License. That document is attached to this visit summary. Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders - 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/ Documentation was completed electronically on site, signed, and left with you today. Please remember it is your responsibility to always comply with all child care rules and requirements. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 with any questions 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

10A NCAC 09 .0803 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 86 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 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 compliance with applicable child care requirements. Limited child care requirements pertinent to this visit type were monitored. Child Care Consultant, Heather Elliott, assisted with the visit today. This program is accredited through COGNIA and currently operates with a Five Star License that was issued on July 18, 2024. Restrictions on the permit include: daytime care only. Samantha Darling, Director, and Joyce McDonald, Assistant Director, were present and available for consultation. As of 10/20/2025, this facility has an 18-month compliance history of 93%. Child Care programs are expected to always achieve and maintain compliance 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 NC Secretary of State website was reviewed today, and Ace Learning LLC was listed as current-active. The last annual compliance visit was conducted on 04/21/2025. Six (6) new staff have been hired since the last monitoring visit and their files were monitored today. Sanitation Inspection – 07/20/25 – 0 Demerits – Superior Classification Fire Inspection – 10/09/24 – Approved for day time care only. Today Joyce McDonald, Assistant Director stated they inspection is scheduled for tomorrow, 10/22/25. There are eleven (11) indoor spaces, and three (3) outdoor spaces approved for use. There are one hundred fifteen (115) children enrolled and eighty-six (86) children, ages 0-5, who were present today. Accurate attendance records were observed in each classroom. Infants in spaces A1 and A2 had routine care needs met such as morning meals or participated in free play with age appropriate materials and activities. Toddlers in spaces B1 and B2 also participated in free play indoors and outdoors. Preschool children in spaces EPS1, EPS2, PS1, PS2, PK1, PK2, and Pthw were observed participating in free choice activities indoors and outdoors; teachers were on the floor engaging with their children as they played. Free choice activities included magnetic blocks, sensory tables, art, dramatic play, and blocks. Today’s lunch consisted of whole grain cheese pizza, salad, mixed fruit, and milk. Each classroom had spaces arranged into activity areas that included art, blocks, science, library, dramatic play, and manipulatives. A variety of age-appropriate learning materials were accessible and observed in each classroom. Activity plans and daily schedules were available for each group of children and observed posted outside of each classroom. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violations were observed. Violations must be corrected immediately. Continued compliance with all applicable child care requirements is always required. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 9, 2024. 10A NCAC 09 .0304(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) diaper creams were observed in space 9 (pthwy) without written permission. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A diaper cream in space 9 (pthwy) expired September 2025. 10A NCAC 09 .0803(1)(d) 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 petroleum ointment in space 1 (EPS1) was not returned to the parent or discarded after the course of the treatment. .0803(12) For your facility to remain in compliance with NC Child Care Requirements, violation must be corrected immediately. On or before November 4, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. The time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. 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. Email me your letter of compliance to april.lester@dhhs.nc.gov Technical Assistance: I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Regarding medication authorizations, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Fire inspections must be obtained annually. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: To safely lift infants, always support their head and neck with one hand and their bottom with the other; slide one hand under their head and neck, and the other hand under their bottom, then scoop them up close to your body. When lifting an older baby or toddler, bend your knees, keep your back straight, and use your legs, not your back, to lift, and avoid lifting them by their arms or armpits. We discussed ensuring 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 will be updated by the parent. It is important that the plan is updated as soon as the parent or guardian makes any changes. It is also 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. Other Information: Today we discussed Child Care Rule .3207(i) Accredited, Head Start and Early Head Start facilities shall meet the staff/child ratio requirements of the organization when required to obtain and maintain the accreditation or designation. If a facility may receive an accreditation award or Head Start designation without adhering to the accreditation standards or Head Start performance standards, the facility shall meet the organization's staff/child ratio standard or enhanced staff/child ratio requirements specified in Rule .3208 of this Section. You had minimum staff/child ratio posted in each classroom; however, you stated most classrooms use a reduced ratio. Today I had you print off the "Classroom Staff to Child Ratio for Accreditation or Head Start" form to begin utilizing in all spaces. You stated you understood this requirement and will begin implementing the enhanced reduced ratios in all classrooms. Criminal Background Check Information – the program has completed the required ABCMS training and is currently using the ABCMS Provider Portal to update information at facilities by verifying the 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. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on 03/08/25. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A 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/ Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Today we had a conversation on the facility’s plan on moving forward with their 2-5 Star Rated License. That document is attached to this visit summary. Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders - 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/ Documentation was completed electronically on site, signed, and left with you today. Please remember it is your responsibility to always comply with all child care rules and requirements. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 with any questions 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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 86 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 08:40 AM Time Out: 11:40 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 compliance with applicable child care requirements. Limited child care requirements pertinent to this visit type were monitored. Child Care Consultant, Heather Elliott, assisted with the visit today. This program is accredited through COGNIA and currently operates with a Five Star License that was issued on July 18, 2024. Restrictions on the permit include: daytime care only. Samantha Darling, Director, and Joyce McDonald, Assistant Director, were present and available for consultation. As of 10/20/2025, this facility has an 18-month compliance history of 93%. Child Care programs are expected to always achieve and maintain compliance 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 NC Secretary of State website was reviewed today, and Ace Learning LLC was listed as current-active. The last annual compliance visit was conducted on 04/21/2025. Six (6) new staff have been hired since the last monitoring visit and their files were monitored today. Sanitation Inspection – 07/20/25 – 0 Demerits – Superior Classification Fire Inspection – 10/09/24 – Approved for day time care only. Today Joyce McDonald, Assistant Director stated they inspection is scheduled for tomorrow, 10/22/25. There are eleven (11) indoor spaces, and three (3) outdoor spaces approved for use. There are one hundred fifteen (115) children enrolled and eighty-six (86) children, ages 0-5, who were present today. Accurate attendance records were observed in each classroom. Infants in spaces A1 and A2 had routine care needs met such as morning meals or participated in free play with age appropriate materials and activities. Toddlers in spaces B1 and B2 also participated in free play indoors and outdoors. Preschool children in spaces EPS1, EPS2, PS1, PS2, PK1, PK2, and Pthw were observed participating in free choice activities indoors and outdoors; teachers were on the floor engaging with their children as they played. Free choice activities included magnetic blocks, sensory tables, art, dramatic play, and blocks. Today’s lunch consisted of whole grain cheese pizza, salad, mixed fruit, and milk. Each classroom had spaces arranged into activity areas that included art, blocks, science, library, dramatic play, and manipulatives. A variety of age-appropriate learning materials were accessible and observed in each classroom. Activity plans and daily schedules were available for each group of children and observed posted outside of each classroom. During today's visit child care requirements monitored for compliance included supervision, staff/child ratio, CPR and First Aid, Criminal Record Checks, storage of hazardous substances and medications, approved space, posting of the license, and other applicable requirements. The following violations were observed. Violations must be corrected immediately. Continued compliance with all applicable child care requirements is always required. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on October 9, 2024. 10A NCAC 09 .0304(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two (2) diaper creams were observed in space 9 (pthwy) without written permission. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. A diaper cream in space 9 (pthwy) expired September 2025. 10A NCAC 09 .0803(1)(d) 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 petroleum ointment in space 1 (EPS1) was not returned to the parent or discarded after the course of the treatment. .0803(12) For your facility to remain in compliance with NC Child Care Requirements, violation must be corrected immediately. On or before November 4, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected as well as how compliance will be maintained in the future. The time frame is established to allow you time for submitting your compliance letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. 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. Email me your letter of compliance to april.lester@dhhs.nc.gov Technical Assistance: I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Regarding medication authorizations, I encouraged you today to make lists of medications brought in by parents which include children’s names, types of medications, expiration dates of medications and expiration dates of authorization forms. This will allow staff members to easily see when medications or authorization forms are about to expire so they can return them to parents or get new authorization forms within 72 hours as required. Fire inspections must be obtained annually. I suggest noting the date of your most recent inspection on a calendar and setting a reminder for yourself to call and request your inspection at least one month in advance of the deadline. Reminders: To safely lift infants, always support their head and neck with one hand and their bottom with the other; slide one hand under their head and neck, and the other hand under their bottom, then scoop them up close to your body. When lifting an older baby or toddler, bend your knees, keep your back straight, and use your legs, not your back, to lift, and avoid lifting them by their arms or armpits. We discussed ensuring 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 will be updated by the parent. It is important that the plan is updated as soon as the parent or guardian makes any changes. It is also 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. Other Information: Today we discussed Child Care Rule .3207(i) Accredited, Head Start and Early Head Start facilities shall meet the staff/child ratio requirements of the organization when required to obtain and maintain the accreditation or designation. If a facility may receive an accreditation award or Head Start designation without adhering to the accreditation standards or Head Start performance standards, the facility shall meet the organization's staff/child ratio standard or enhanced staff/child ratio requirements specified in Rule .3208 of this Section. You had minimum staff/child ratio posted in each classroom; however, you stated most classrooms use a reduced ratio. Today I had you print off the "Classroom Staff to Child Ratio for Accreditation or Head Start" form to begin utilizing in all spaces. You stated you understood this requirement and will begin implementing the enhanced reduced ratios in all classrooms. Criminal Background Check Information – the program has completed the required ABCMS training and is currently using the ABCMS Provider Portal to update information at facilities by verifying the 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. CLEAN CLASSROOMS FOR CAROLINA KIDS - Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on 03/08/25. Water testing must be completed every three (3) years. • Lead-Based Paint-Exempt N/A • Asbestos-Exempt N/A 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/ Choosing a Pathway to the Stars The new rules related to the star rated license system (QRIS) have been approved. The DCDEE team looks forward to working with child care facilities across the state to transition to the new QRIS system, also known as Pathways to the Stars, located in Section .3200 of the Child Care Rules. The transition has begun and the following informational opportunities are available to you: •You can review the rule roll out module in the DCDEE e-learning Moodle platform and •If you were unable to attend the recent webinars regarding Choosing a Pathway to the Stars, the sessions were recorded and will be posted on the QRIS Modernization page. •In September, child care consultants hosted in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. If you were unable to attend, reach out to me so we can review the information. •Beginning In October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. We understand this is a big change and are committed to ensuring all providers have a good understanding of the new opportunities to make informed decisions on which pathway best suits the needs of the facility. We look forward to seeing you at these upcoming informational settings and working with you on your pathway to the stars! Today we had a conversation on the facility’s plan on moving forward with their 2-5 Star Rated License. That document is attached to this visit summary. Remember! You can contact the NC Resource Center for information, resources, and referrals on topics related to child health and health and safety in child care. Anyone in the greater early care and education community is welcome to call 1(800) 367-2229 (choose 1 then 2). Reminders - 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/ Documentation was completed electronically on site, signed, and left with you today. Please remember it is your responsibility to always comply with all child care rules and requirements. Contact me at April.Lester@dhhs.nc.gov at (910)824-0954 with any questions 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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 4/21/2025 Number Present: 86 Completed Date: 4/21/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 08:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance. Zana Norley, Director, assisted me with the visit. The program currently operates with a 5-star license issued July 18, 2024, by COGNIA accreditation. Restrictions on the permit include: daytime care only. The last annual compliance visit was conducted May 7, 2024. Prior to the visit the compliance history score was 90%. According to the NC Secretary of State website, Ace Learning LLC is current and active. Sanitation – September 4, 2024 – Superior Fire – October 9, 2024 – Approved, daytime care only All licensed indoor and outdoor spaces were monitored today. Children were observed in free play both indoors and outdoors. All activity plans were current and aligned with NC Early Childhood Foundations. Safe sleep checks and feeding schedules were monitored. Staff had informal conversations with children and engaged in play as well. The ABCMS portal was reviewed today. The program has completed their lead water testing and lead/asbestos testing through Clean Water for Carolina Kids. Lunch for today consisted of chicken alfredo, spinach, mixed fruit, whole grain pasta, and milk. The following violation was observed. Violation Number Comment Rule 542 The written feeding plan was not modified as the child's needs changed. Infant written feeding plans have not been modified as the children's needs have changed. 10 NCAC 09 .0902(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 May 5, 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. Mail or email the information to: April Lester, Child Care Consultant 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Today we discussed ensuring that the feeding schedules you are using are working for your facility. We discussed ensuring 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 will be updated. Conversations need to occur between the caregiver and the parents before there are any changes made to an infant’s feeding. It is important that the plan is updated as soon as the parent or guardian makes any changes. It is also important that the caregivers follow what the feeding schedule states. Today I suggested that you use the feeding schedule provided by DCDEE and that is available on the website. This form will ask parents or guardians for the frequency of the feeding instead of the exact time feeding will be needed. Reminders: Today we discussed sunscreen and bug spray permission forms. I suggested only having the months that the sunscreen and bug spray are needed reflected on the permission forms. Currently these topical ointments have 12-month permission forms; therefore, they must be used for all 12 months out of the year. We also discussed chap stick permission forms. Please have the parents be more descriptive on what they mean by “as needed” since that statement can be opinionated. Be reminded that it is your responsibility to remove/add staff to the ABCMS portal within 5 days of them being ending/beginning their employment. 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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 102 Completed Date: 11/19/2024 Age: From 0 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 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. Zana Norley, Director, assisted me with the visit. The program is accredited through COGNIA and currently operates with a 5-star license issued July 18, 2024. Restrictions on the permit include: daytime care only. The last annual compliance visit was conducted May 7, 2024. Prior to the visit the compliance history score was 93%. According to the NC Secretary of State website, Ace Learning LLC is current and active. Sanitation – September 4, 2024 – Superior Fire – October 9, 2024 – Approved, daytime care only All licensed spaces were monitored today. Children were observed in free play both indoors and outdoors, in large and small group activities, and having routine care needs met such as feedings and diapering. All activity plans were current and aligned with NC Early Childhood Foundations. Safe sleep checks and feeding schedules were monitored and found in compliance. Staff had informal conversations with children and engaged in play as well. Eight (8) new staff members have been hired since the annual visit in May 2024. Their files were monitored today and found in compliance. Lunch for today turkey sausage, whole grain wild rice, strawberries, applesauce, and milk. The following violation was observed. 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. A prescription medication in space 11 (PK1) was not in the original labeled container. .0803(2)(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 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. Mail or email the information to: April Lester, Child Care Consultant 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: 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. Reminders: You must conduct a shelter-in-place or a lockdown drill in December. Child Care Rule .0510 (2) states when screen time is provided on any electronic media device with a visual display, it shall be: offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development; limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and documented on a cumulative log or the activity plan that shall be available for review by the Division. Today we visited our website and found the sample log under our provider documents tab. You printed the log and stated all staff will begin to use this log for screen time. Sanitation Rule .2821 (a) states in child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. Bedding is being stored on top of cots in preschool aged classrooms. This does not prevent contamination of germs. Today we discussed placing the blankets into plastic bags for the children over 3 years of age and storing blankets in the cubbies for the younger children. Child Care Rule .0901(a) states that all meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. The visit summary was reviewed with you, signed, and a copy left with you. If you need any assistance, please reach out to me, April Lester, Child Care Consultant, april.lester@dhhs.nc.gov, 910-824-0954 or Lynette Robbins, Licensing Supervisor, lynette.robbins@dhhs.nc.gov, 910-824-0235. 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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: 0924-132L Visit Date: 9/12/2024 Number Present: 102 Completed Date: 9/12/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. The program operates with a 5-star license issued July 18, 2024 for being COGNIA Accredited. Restrictions on the permit include: daytime care only. Prior to the visit the compliance history score was 93%. Director, Zana Norley, assisted me with the visit today. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor and outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. One new staff member has been hired since the last visit and her file was monitored. Children were observed in all licensed indoor and outdoor areas. Children were observed in free play with age appropriate materials and activities, diapering/toileting routines, and preparing for lunch. Adequate handwashing and table sanitation was observed. Positive and appropriate staff/child interactions were observed as well as active supervision in all spaces. Staff/child ratios were as follows: Space 1 – 2 year olds – 2:10 Space 2 – infants – 3:7 Space 3 – one year olds – 2:5 Space 4 – one/two year olds – 2:9 Space 5 – two year olds – 2:13 Space 6 – two year olds – 2:4 Space 7 – three year olds – 2:9 Space 8 – three year olds – 2:10 Space 9 – two/three year olds – 2:8 Space 10 – four/five year olds – 2:12 Space 11 – three/four year olds – 2:15 There is a concern that a child was injured while on the playground. **On Wednesday, September 4, 2024, a child 3 years of age tripped over the outdoor slide surfacing mat and fell. The teacher in charge saw the child fall. She fell onto her knees and her elbow. The child reported her knee hurting and her arm. The child did not cry and the teacher stated the child had full range of motion in her arm. The child continued to play. When her parent arrived to pick her up, she began to cry and the teacher told the parent what happened. The parent notified the teacher that evening that she was still complaining of her arm hurting and they were taking the child to an urgent care. The teacher stated she would have the incident report at the center for the parent to sign when she returned. The doctor stated he was unsure of an injury; however, there potentially could be a hairline fracture. The child was placed in a cast for two weeks and new images will be taken to see if there is a hairline fracture. The incident report was emailed to me on September 9, 2024. Surfacing on the playground was monitored and found in compliance. Based on the observation, investigation, and staff report, the allegation for concerns that a child was injured while in care was unsubstantiated since it was an accident, supervision was maintained, adequate surfacing was observed, and an incident report completed and submitted as required. The following violation was observed today 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 ointments were observed in spaces 1, 4, and 5. These items were removed during the visit. .0803(12) Child Care programs are expected to always achieve and maintain compliance 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: 10A NCAC 09. 0901(a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Be reminded at least one serving per day, across all eating occasions, must be whole grain-rich. Grain-based desserts do not count towards meeting the grains requirement. Meat and meat alternates may be used to meet the entire grains requirement a maximum of three times a week. One ounce of meat and meat alternates is equal to one ounce equivalent of grains. There is an easy to read chart located on NCRLAP.org titled “USDA Meal Pattern Guidelines for Children 1 to 12 years” The sick area may not be in the staff lounge. The staff lounge is not an approved space for care as it does not have an exterior door or window. Children may be cared for in their classrooms if they are sick. Staff must be diligent in keeping the children away from other children to reduce the risk of spreading germs. The toilet seat in space 7 needs to be tightened. 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 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: 0924-132L Visit Date: 9/12/2024 Number Present: 102 Completed Date: 9/12/2024 Age: From 0 To 5 Total Minutes: 150 Time In: 10:30 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. The program operates with a 5-star license issued July 18, 2024 for being COGNIA Accredited. Restrictions on the permit include: daytime care only. Prior to the visit the compliance history score was 93%. Director, Zana Norley, assisted me with the visit today. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor and outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, medication administration, and storage of hazardous products were also monitored. One new staff member has been hired since the last visit and her file was monitored. Children were observed in all licensed indoor and outdoor areas. Children were observed in free play with age appropriate materials and activities, diapering/toileting routines, and preparing for lunch. Adequate handwashing and table sanitation was observed. Positive and appropriate staff/child interactions were observed as well as active supervision in all spaces. Staff/child ratios were as follows: Space 1 – 2 year olds – 2:10 Space 2 – infants – 3:7 Space 3 – one year olds – 2:5 Space 4 – one/two year olds – 2:9 Space 5 – two year olds – 2:13 Space 6 – two year olds – 2:4 Space 7 – three year olds – 2:9 Space 8 – three year olds – 2:10 Space 9 – two/three year olds – 2:8 Space 10 – four/five year olds – 2:12 Space 11 – three/four year olds – 2:15 There is a concern that a child was injured while on the playground. **On Wednesday, September 4, 2024, a child 3 years of age tripped over the outdoor slide surfacing mat and fell. The teacher in charge saw the child fall. She fell onto her knees and her elbow. The child reported her knee hurting and her arm. The child did not cry and the teacher stated the child had full range of motion in her arm. The child continued to play. When her parent arrived to pick her up, she began to cry and the teacher told the parent what happened. The parent notified the teacher that evening that she was still complaining of her arm hurting and they were taking the child to an urgent care. The teacher stated she would have the incident report at the center for the parent to sign when she returned. The doctor stated he was unsure of an injury; however, there potentially could be a hairline fracture. The child was placed in a cast for two weeks and new images will be taken to see if there is a hairline fracture. The incident report was emailed to me on September 9, 2024. Surfacing on the playground was monitored and found in compliance. Based on the observation, investigation, and staff report, the allegation for concerns that a child was injured while in care was unsubstantiated since it was an accident, supervision was maintained, adequate surfacing was observed, and an incident report completed and submitted as required. The following violation was observed today 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 ointments were observed in spaces 1, 4, and 5. These items were removed during the visit. .0803(12) Child Care programs are expected to always achieve and maintain compliance 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: 10A NCAC 09. 0901(a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Be reminded at least one serving per day, across all eating occasions, must be whole grain-rich. Grain-based desserts do not count towards meeting the grains requirement. Meat and meat alternates may be used to meet the entire grains requirement a maximum of three times a week. One ounce of meat and meat alternates is equal to one ounce equivalent of grains. There is an easy to read chart located on NCRLAP.org titled “USDA Meal Pattern Guidelines for Children 1 to 12 years” The sick area may not be in the staff lounge. The staff lounge is not an approved space for care as it does not have an exterior door or window. Children may be cared for in their classrooms if they are sick. Staff must be diligent in keeping the children away from other children to reduce the risk of spreading germs. The toilet seat in space 7 needs to be tightened. 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 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

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: APRIL LESTER Operation Type: Center Case Number: Visit Date: 5/7/2024 Number Present: 133 Completed Date: 5/7/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 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. Zana Norley, Director, assisted me with the visit. The program currently operates with a 1-star license issued May 31, 2021. Restrictions on the permit include: daytime care only. The last annual compliance visit was conducted May 18, 2023. Prior to the visit the compliance history score was 94%. According to the NC Secretary of State website, Ace Learning LLC is current and active. Sanitation – April 22, 2024 – Approved Fire – November 3, 2023 – Approved, daytime care only All licensed spaces were monitored today. Children were observed in free play both indoors and outdoors. All activity plans were current and aligned with NC Early Childhood Foundations. Safe sleep checks and feeding schedules were monitored and found in compliance. Staff had informal conversations with children and engaged in play as well. Lunch for today consisted of fajita chicken, tater tots fruit salad, and milk. The following violations were observed. Violation Number Comment Rule 702 Child-sized equipment and furnishings, or those adapted for safe and effective use by children, were not provided. In space 9 the tables were too tall for all children and some chairs were too high. .0601(e ) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Prescription cream was not in the original labeled container or accompanied by signed and dated written instructions in space 7. .0803(2)(a) 853 Incident logs were not completed and maintained as required. Incident logs have not been completed and maintained. .0802(g)(1-6) 1880 Prescribed medication was not administered according to the prescription, using the amount and frequency of dosage specified on the label. The prescription diaper cream in space 7 had a permission form for an over-the-counter ointment rather than a medication permission form. .0803(2)(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Mail or email the information to: April Lester, Child Care Consultant 12948 Wilmington, NC 28405 April.Lester@dhhs.nc.gov 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: 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. Incident logs must be kept up to date and available for review. Today I showed you where the incident log form is located on our website under the provider documents tab. Child Care Rule .0601 talks about child sized furnishings. Today we talked about table height being at the child’s belly button so their arms can rest comfortably on the table. In addition, children’s feet must be able to touch the floor so they can move up to and away from the table independently. Reminders: Child Care Rule .0510 Activity Plans was discussed today. I encourage you to inventory all classrooms and add materials if needed. A lot of time challenging behaviors will develop when children do not have a sufficient amount of materials made available to them. 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 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: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 132 Completed Date: 9/27/2023 Age: From 0 To 4 Total Minutes: 165 Time In: 08:30 AM Time Out: 11:15 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 compliance during a routine unannounced visit. The program currently operates with a One Star License, issued May 31, 2021. Restrictions on the permit include a first shift capacity of 210 children 0-12 years of age. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on May 18, 2023. Prior to this visit, the facility’s eighteen-month compliance history score was 95%. Sanitation – 08/25/2023 – Superior Classification Fire – 11/10/2022 – Facility approved for daytime use only All indoor and outdoor spaces approved for use with children were visited. Infants in space 2 were cared for based on individual needs, including diapering, feeding, and napping routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 1, 3 – 7 were engaged in center time, accessing a variety of age-appropriate materials. Children in spaces 8-11 were observed during morning group time. Morning snack consisted of vegan granola bars and milk. Lunch planned for the day consisted of fish sticks, broccoli/cauliflower medley, pears and milk. Adequate supervision and positive interactions were observed. One violation was observed and must be corrected immediately. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In spaces 1-3, several sunscreen and diaper cream permission forms were missing required information. 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 October 06, 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 ASSISTANCE RELATED TO VIOLATION CITED: Medication authorization forms must be checked often to ensure they are filled out correctly and completely by parents prior to use. In spaces 1-3, permission forms for several of the sunscreens and diaper creams used with the children were missing required information, including expiration date, amount to be applied and when to apply cream. Today I suggested that you put a system in place or assign one person the responsibility of checking medication forms as completed by parents and on regular basis to ensure compliance. TECHNICAL ASSISTANCE PROVIDED BASED ON CLASSROOM OBSERVATIONS: Make sure staff are wiping noses and washing hands consistently throughout the day in order to cut down on germs. Materials stored in bathrooms should be limited to toileting and diapering supplies. As discussed today, “whole-group” gatherings should be limited to short periods, suited to age and individual needs of the children. Staff members should follow the children’s lead. When children begin to lose interest with large group gatherings, it is time to transition them to other activities. Also, keep in mind that moving from one large group activity to another is counterproductive. Young children cannot sit for long periods of time. If required to do so, behavior challenges may increase. Make sure that staff members are comforting upset children. It is important for children to feel secure and cared for in their moments of missing mommy or just having a rough morning. Some children’s transitions are smoother than others and staff members must remain diligent in ensuring each child’s needs are met. REMINDERS: The program’s fire inspection expires on November 10, 2023. Ensure you reach out to the fire marshal’s office to remind them that a new inspection is due soon. T. Green, hired on September 11, 2023, must successfully complete CPR/FA certification before or by December 11, 2023 to remain in compliance. D. William’s annual health questionnaire expires on October 24, 2023. Ensure she updates the form prior to expiration of current one. Ms. Williams was hired on October 24, 2022, and must complete all health and safety training topics by October 24, 2023, to maintain compliance. Email me copies of training certificates for verification. At the conclusion of this visit, the summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRIMROSE SCHOOL OF WILMINGTON AT MEDICAL CENTER Facility ID: 65001035 Consultant: SHEREEN PICKETT Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 132 Completed Date: 9/27/2023 Age: From 0 To 4 Total Minutes: 165 Time In: 08:30 AM Time Out: 11:15 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 compliance during a routine unannounced visit. The program currently operates with a One Star License, issued May 31, 2021. Restrictions on the permit include a first shift capacity of 210 children 0-12 years of age. The last annual compliance visit was conducted by Child Care Consultant Shereen Pickett on May 18, 2023. Prior to this visit, the facility’s eighteen-month compliance history score was 95%. Sanitation – 08/25/2023 – Superior Classification Fire – 11/10/2022 – Facility approved for daytime use only All indoor and outdoor spaces approved for use with children were visited. Infants in space 2 were cared for based on individual needs, including diapering, feeding, and napping routines. Infant feeding schedules and safe sleep checks were monitored and found to be in compliance. Children in space 1, 3 – 7 were engaged in center time, accessing a variety of age-appropriate materials. Children in spaces 8-11 were observed during morning group time. Morning snack consisted of vegan granola bars and milk. Lunch planned for the day consisted of fish sticks, broccoli/cauliflower medley, pears and milk. Adequate supervision and positive interactions were observed. One violation was observed and must be corrected immediately. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In spaces 1-3, several sunscreen and diaper cream permission forms were missing required information. 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 October 06, 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 ASSISTANCE RELATED TO VIOLATION CITED: Medication authorization forms must be checked often to ensure they are filled out correctly and completely by parents prior to use. In spaces 1-3, permission forms for several of the sunscreens and diaper creams used with the children were missing required information, including expiration date, amount to be applied and when to apply cream. Today I suggested that you put a system in place or assign one person the responsibility of checking medication forms as completed by parents and on regular basis to ensure compliance. TECHNICAL ASSISTANCE PROVIDED BASED ON CLASSROOM OBSERVATIONS: Make sure staff are wiping noses and washing hands consistently throughout the day in order to cut down on germs. Materials stored in bathrooms should be limited to toileting and diapering supplies. As discussed today, “whole-group” gatherings should be limited to short periods, suited to age and individual needs of the children. Staff members should follow the children’s lead. When children begin to lose interest with large group gatherings, it is time to transition them to other activities. Also, keep in mind that moving from one large group activity to another is counterproductive. Young children cannot sit for long periods of time. If required to do so, behavior challenges may increase. Make sure that staff members are comforting upset children. It is important for children to feel secure and cared for in their moments of missing mommy or just having a rough morning. Some children’s transitions are smoother than others and staff members must remain diligent in ensuring each child’s needs are met. REMINDERS: The program’s fire inspection expires on November 10, 2023. Ensure you reach out to the fire marshal’s office to remind them that a new inspection is due soon. T. Green, hired on September 11, 2023, must successfully complete CPR/FA certification before or by December 11, 2023 to remain in compliance. D. William’s annual health questionnaire expires on October 24, 2023. Ensure she updates the form prior to expiration of current one. Ms. Williams was hired on October 24, 2022, and must complete all health and safety training topics by October 24, 2023, to maintain compliance. Email me copies of training certificates for verification. At the conclusion of this visit, the summary was reviewed, signed and a copy was left with you. Reach me with questions/ concerns at (910) 508-3228 or Shereen.pickett@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times