Childcare Network #324

10A NCAC 09 .0604 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: APRIL FLEMING Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 87 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor this program for compliance with applicable child care requirements and to provide technical assistance for the QRIS, Pathway to the Stars. Currently, this facility operates with a Five-Star license issued July 2, 2024. The center's last annual compliance visit was completed on December 31, 2024. A checklist was used to note the requirements monitored during the visit. The last sanitation inspection was completed today December 17, 2025, earning a superior classification and three (3) demerits. The last satisfactory fire inspection was completed on January 3, 2025. Erika Wooten, Center Director was present and available to assist. Eighty-seven (87) children were present. Children were observed participating in teacher directed activities, free choice play, infant feeding and care, preparing for lunch and daily routine activities. Staff interacted with children in a positive manner. Fire drills, lockdown/shelter in place and playground inspections were current. You stated transportation is provided. Transportation requirements were observed and found in compliance. The following violations were observed during the visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted and available for review in space #7. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Formula and other bottle beverages sent from home were not fully prepared, dated, and labeled for the appropriate child in space #1 and space #3. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The cabinets and the ceiling vent in the kitchen was not kept clean. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Power strips not in use, in space #1 and space #4 were not covered with safety plugs. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. A broken tricycle and Legos was not removed and disposed of from the outdoor playground. 10A NCAC 09 .0604(p) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical assessment and immunization records was not on file for review for two children. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan did not have a current review and or revision date of the plan. The last date was August of 2024. .0607(d)(8) The following violations must be corrected immediately. The letter must describe, in detail, specifically how each violation has been corrected and any supporting documents. You can mail or email me with verification of compliance regarding the violations that were documented. If you choose to mail, two signed and dated copies must be sent and received by December 31, 2025. Please be aware that any written information submitted by you regarding correction of the violations documented during today's visit is legal documentation. It is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's license, could be issued. The letter of compliance should be mailed or emailed to me, April Fleming, PO Box 236, Enfield, NC 27823. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-450-9796 or april.fleming@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor, at 252-373-9809. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility maintained an 18-month compliance score of 86% CONSULTATION/TECHNICAL ASSISTANCE CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. Children records reviewed, were not in compliance. Two children did not have a medical assessment and immunization record on file for review. To ensure compliance, continue to use the checklist and document on a calendar when required forms are due for the children in care. New staff and ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. EPR Plan: The EPR plan should be revised and reviewed in the risk management portal to receive a current revised/review date. You stated you have two professional development days during the year. To ensure compliance, I encourage you to complete the review during one of those days. CRIMINAL BACKGROUND APPLICATIONS: A New feature links criminal background applications to facilities. The training has been completed, and the roster was generated with all staff listed. 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. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. CLEAN WATER FOR US KIDS: The Clean Water for Carolina Kids status is “analysis complete”. The lead base paint and asbestos status is “section complete”. This information was verified in the clean water for US kids facility data. STAR RATED LICENSE (SRL/QRIS: During today’s visit an overview of section .3200 of the child care rules was provided to Ms. Wooten. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. The facility is considering Program Assessment Pathway 1. A copy of the conversation overview was emailed to Ms. Wooten. I encourage you to use the resources discussed during the visit. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules were updated effective July 1, 2025. RESOURCES: • The most current provider documents/ forms, checklists, criminal background check application, resources related to child care, MOODLE (ABCMS Provider Portal training & Rule Roll out), and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/, QRIS Modernization: Pathway to the Stars 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

GS 110-91 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: APRIL FLEMING Operation Type: Center Case Number: Visit Date: 12/17/2025 Number Present: 87 Completed Date: 12/17/2025 Age: From 0 To 5 Total Minutes: 330 Time In: 09:45 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor this program for compliance with applicable child care requirements and to provide technical assistance for the QRIS, Pathway to the Stars. Currently, this facility operates with a Five-Star license issued July 2, 2024. The center's last annual compliance visit was completed on December 31, 2024. A checklist was used to note the requirements monitored during the visit. The last sanitation inspection was completed today December 17, 2025, earning a superior classification and three (3) demerits. The last satisfactory fire inspection was completed on January 3, 2025. Erika Wooten, Center Director was present and available to assist. Eighty-seven (87) children were present. Children were observed participating in teacher directed activities, free choice play, infant feeding and care, preparing for lunch and daily routine activities. Staff interacted with children in a positive manner. Fire drills, lockdown/shelter in place and playground inspections were current. You stated transportation is provided. Transportation requirements were observed and found in compliance. The following violations were observed during the visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted and available for review in space #7. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Formula and other bottle beverages sent from home were not fully prepared, dated, and labeled for the appropriate child in space #1 and space #3. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The cabinets and the ceiling vent in the kitchen was not kept clean. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Power strips not in use, in space #1 and space #4 were not covered with safety plugs. 10A NCAC 09 .0604(c) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. A broken tricycle and Legos was not removed and disposed of from the outdoor playground. 10A NCAC 09 .0604(p) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical assessment and immunization records was not on file for review for two children. GS 110-91(1);.0302(d)(2); .0304(g) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan did not have a current review and or revision date of the plan. The last date was August of 2024. .0607(d)(8) The following violations must be corrected immediately. The letter must describe, in detail, specifically how each violation has been corrected and any supporting documents. You can mail or email me with verification of compliance regarding the violations that were documented. If you choose to mail, two signed and dated copies must be sent and received by December 31, 2025. Please be aware that any written information submitted by you regarding correction of the violations documented during today's visit is legal documentation. It is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's license, could be issued. The letter of compliance should be mailed or emailed to me, April Fleming, PO Box 236, Enfield, NC 27823. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-450-9796 or april.fleming@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor, at 252-373-9809. Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your type of program. It is your responsibility to maintain compliance with all the applicable laws and rules always if they have been monitored or specifically discussed with you in the past. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Compliance History: Prior to today's visit, this facility maintained an 18-month compliance score of 86% CONSULTATION/TECHNICAL ASSISTANCE CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children’s records were monitored. Children records reviewed, were not in compliance. Two children did not have a medical assessment and immunization record on file for review. To ensure compliance, continue to use the checklist and document on a calendar when required forms are due for the children in care. New staff and ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. EPR Plan: The EPR plan should be revised and reviewed in the risk management portal to receive a current revised/review date. You stated you have two professional development days during the year. To ensure compliance, I encourage you to complete the review during one of those days. CRIMINAL BACKGROUND APPLICATIONS: A New feature links criminal background applications to facilities. The training has been completed, and the roster was generated with all staff listed. 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. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. CLEAN WATER FOR US KIDS: The Clean Water for Carolina Kids status is “analysis complete”. The lead base paint and asbestos status is “section complete”. This information was verified in the clean water for US kids facility data. STAR RATED LICENSE (SRL/QRIS: During today’s visit an overview of section .3200 of the child care rules was provided to Ms. Wooten. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. The facility is considering Program Assessment Pathway 1. A copy of the conversation overview was emailed to Ms. Wooten. I encourage you to use the resources discussed during the visit. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. All requirements must be included if you choose to use your own forms electronically or hard copy. Child care rules were updated effective July 1, 2025. RESOURCES: • The most current provider documents/ forms, checklists, criminal background check application, resources related to child care, MOODLE (ABCMS Provider Portal training & Rule Roll out), and new child care requirements can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/, QRIS Modernization: Pathway to the Stars If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 89 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Erika Wooten, the administrator, assisted with the visit. Eighty-nine (89) children were observed in care today ranging from zero to five years old. Children were observed eating lunch, engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, interacting with the caregivers and napping. Currently this program operates with a five-star license earning six points in staff education, six points program standards, and one quality point for offering a staff benefits package, and infrastructure of parent involvement. The sanitation inspection was completed on December 31, 2024, earning a superior classification. The last fire inspection was completed on January 3, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on December 31, 2024. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys and a child’s shoes were observed on the diaper changing table in classroom #5. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. A plastic basket in Space accessible to children was cracked exposing sharp points in classroom #9. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form was not on file for A & D ointment kept onsite for one child enrolled. 10A NCAC 09 .0803(1)(a & b) 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 tube of prescription hydrocortisone cream kept on site for one child enrolled was not in its original container. .0803(2)(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 3, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 89% percent as of May 19, 2025. CORPORATION STATUS: Child Development Schools North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development Schools North Carolina LLC remains current and active. I reminded you that the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. SAFE OUTDOOR ENVIRONMENT: During the visit, a cracked basket with exposed sharp edges was observed on a shelf with an area accessible to children. I advised that the basket be removed to prevent any potential safety hazards. Following this, you promptly removed and discarded the basket. To maintain a safe environment, staff should be encouraged to regularly remove any damaged or unusable items. Implementing consistent daily safety checks can help identify such hazards early and ensure they are addressed before children enter the classroom. MEDICATION REQUIREMENTS: A tube of hydrocortisone cream prescribed by the doctor for one child enrolled was not stored in its original container as required. Additionally, A & D ointment intended for use with an enrolled child did not have a parent -signed authorization form on file. Both items were removed from the classroom at the time of the visit. You stated you would follow up with families to ensure all required documentation is provided and that all medications brought into the classroom meet compliance standards. SANITATION REQUIREMENTS: During my observation, toys and other non-diapering items were observed on the diaper changing table in classroom #5. When brought to your attention, you immediately removed the items at that time. Please be reminded that the diaper changing table should be used for only diapering procedures and no other items should be stored on this surface to maintain hygiene and ensure compliance with health and safety requirements. PATHWAYS TO THE STARS- WHERE QUALITY AND CHOICE MEETS: This week the Child Care Commission took the next step in the journey to meet the North Carolina General Assembly’s mandate in Session Law 2024-34 to modernize the state’s Quality Rating and Improvement System, voting to adopt the Quality Rating Improvement System (QRIS) Modernization Proposed Rule Amendments and Adoptions. The QRIS rules will go to the Rules Review Commission (RRC) for review and approval as the next step of the rulemaking process. It is important to note that the new QRIS rules are not yet effective. However, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at QRIS Modernization and will also be provided through emails and Raise NC newsletters. NEW ECE APPRENTICESHIP PATHWAYS OPPORTUNITIES! The North Carolina Business Committee for Education (NCBCE) continues its work with early childhood education apprenticeship programs through its Building Bright Futures (BBF) and North Carolina Career Launch (NCCL) initiatives. In partnership with BBF and Apprenticeship NC, Early Years was honored to register the first statewide Early Childhood Educator (ECE) Apprenticeship Programs in North Carolina on October 31, 2024. Registered apprenticeship programs include paid on-the-job training under the guidance of a mentor, related supplemental instruction, and the opportunity to earn industry-recognized credentials. In addition, the components of TEACH Early Childhood® scholarships for associate and bachelor’s degrees have always mirrored the elements of an apprenticeship program, creating the foundation for this well-rounded and supportive program. NCBCE’s newest initiative, North Carolina Career Launch (NCCL), focuses on supporting the high school Pre apprenticeship to apprenticeship pathway. High school students can take the Introduction to Early Childhood Education class and complete work-based learning hours with an employer, while receiving guidance, support, and financial incentives from NCCL. These pre-apprenticeships can lead to apprenticeship opportunities for post-secondary education and employment. For more information, contact Morgan Ford at morgan.ford@nc.gov. HEALTHY SOCIAL BEHAVIOR: THE BASICS of BITING: Children use biting as a form of communication. Join a free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors, as they identify the function of biting behavior, and share supportive resources to help young children. Tuesday, May 20, 2025, from 7:00-8:00 p.m. Webinar link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 The information above was retrieved from the Raise NC Newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 89 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Erika Wooten, the administrator, assisted with the visit. Eighty-nine (89) children were observed in care today ranging from zero to five years old. Children were observed eating lunch, engaged in free choice play with developmentally age-appropriate materials, completing toileting, diapering and hand washing routines, interacting with the caregivers and napping. Currently this program operates with a five-star license earning six points in staff education, six points program standards, and one quality point for offering a staff benefits package, and infrastructure of parent involvement. The sanitation inspection was completed on December 31, 2024, earning a superior classification. The last fire inspection was completed on January 3, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on December 31, 2024. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys and a child’s shoes were observed on the diaper changing table in classroom #5. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. A plastic basket in Space accessible to children was cracked exposing sharp points in classroom #9. 10A NCAC 09 .0601(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission form was not on file for A & D ointment kept onsite for one child enrolled. 10A NCAC 09 .0803(1)(a & b) 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 tube of prescription hydrocortisone cream kept on site for one child enrolled was not in its original container. .0803(2)(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before June 3, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 89% percent as of May 19, 2025. CORPORATION STATUS: Child Development Schools North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development Schools North Carolina LLC remains current and active. I reminded you that the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. SAFE OUTDOOR ENVIRONMENT: During the visit, a cracked basket with exposed sharp edges was observed on a shelf with an area accessible to children. I advised that the basket be removed to prevent any potential safety hazards. Following this, you promptly removed and discarded the basket. To maintain a safe environment, staff should be encouraged to regularly remove any damaged or unusable items. Implementing consistent daily safety checks can help identify such hazards early and ensure they are addressed before children enter the classroom. MEDICATION REQUIREMENTS: A tube of hydrocortisone cream prescribed by the doctor for one child enrolled was not stored in its original container as required. Additionally, A & D ointment intended for use with an enrolled child did not have a parent -signed authorization form on file. Both items were removed from the classroom at the time of the visit. You stated you would follow up with families to ensure all required documentation is provided and that all medications brought into the classroom meet compliance standards. SANITATION REQUIREMENTS: During my observation, toys and other non-diapering items were observed on the diaper changing table in classroom #5. When brought to your attention, you immediately removed the items at that time. Please be reminded that the diaper changing table should be used for only diapering procedures and no other items should be stored on this surface to maintain hygiene and ensure compliance with health and safety requirements. PATHWAYS TO THE STARS- WHERE QUALITY AND CHOICE MEETS: This week the Child Care Commission took the next step in the journey to meet the North Carolina General Assembly’s mandate in Session Law 2024-34 to modernize the state’s Quality Rating and Improvement System, voting to adopt the Quality Rating Improvement System (QRIS) Modernization Proposed Rule Amendments and Adoptions. The QRIS rules will go to the Rules Review Commission (RRC) for review and approval as the next step of the rulemaking process. It is important to note that the new QRIS rules are not yet effective. However, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support you in preparing for new options to earn your Two- through Five-Star Rated License. All the newest information will be posted at QRIS Modernization and will also be provided through emails and Raise NC newsletters. NEW ECE APPRENTICESHIP PATHWAYS OPPORTUNITIES! The North Carolina Business Committee for Education (NCBCE) continues its work with early childhood education apprenticeship programs through its Building Bright Futures (BBF) and North Carolina Career Launch (NCCL) initiatives. In partnership with BBF and Apprenticeship NC, Early Years was honored to register the first statewide Early Childhood Educator (ECE) Apprenticeship Programs in North Carolina on October 31, 2024. Registered apprenticeship programs include paid on-the-job training under the guidance of a mentor, related supplemental instruction, and the opportunity to earn industry-recognized credentials. In addition, the components of TEACH Early Childhood® scholarships for associate and bachelor’s degrees have always mirrored the elements of an apprenticeship program, creating the foundation for this well-rounded and supportive program. NCBCE’s newest initiative, North Carolina Career Launch (NCCL), focuses on supporting the high school Pre apprenticeship to apprenticeship pathway. High school students can take the Introduction to Early Childhood Education class and complete work-based learning hours with an employer, while receiving guidance, support, and financial incentives from NCCL. These pre-apprenticeships can lead to apprenticeship opportunities for post-secondary education and employment. For more information, contact Morgan Ford at morgan.ford@nc.gov. HEALTHY SOCIAL BEHAVIOR: THE BASICS of BITING: Children use biting as a form of communication. Join a free, talk-to-the-experts webinar, presented by the Healthy Social Behaviors Helpline advisors, as they identify the function of biting behavior, and share supportive resources to help young children. Tuesday, May 20, 2025, from 7:00-8:00 p.m. Webinar link: https://ccrinc.zoom.us/j/3677997738 Meeting ID: 367 799 7738 The information above was retrieved from the Raise NC Newsletter. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

GS110-91 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 12/31/2024 Number Present: 66 Completed Date: 12/31/2024 Age: From 0 To 8 Total Minutes: 305 Time In: 08:30 AM Time Out: 01:35 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 this program for compliance with applicable child care requirements during an annual compliance visit. M. Arrington, Assistant Director, assisted with the visit. This center currently operates with a five-star license, earning six points in the education component, six points in the program standard component and 1 quality point for offering a staff benefits package and infrastructure of parent involvement. This program continues to meet enhanced space and enhanced ratio. This is the first annual compliance visit conducted. The last sanitation inspection was completed on January 22, 2024, earning a “Superior” classification. The last fire inspection was completed on January 19, 2024, and the center was approved for daytime care only. Sixty-six (66) children ranging from ages zero to eight years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating breakfast and lunch, completing hand washing, diapering and toileting routines, interacting with caregivers and napping. Breakfast consisted of cereal, mixed fruit and milk. Lunch consisted of BBQ chicken, macaroni and cheese, broccoli, pears and milk. The following violations were documented. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two bottles filled with milk observed in the refrigerator in Space #1 were not labeled with the child’s name and date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children in Space #4 hands were not washed upon arrival at the center. 15A NCAC 18A .2803(c) 807 A safe indoor and outdoor environment was not provided for the children. A torn pillow exposing the interior was accessible to children in Space #9, hand sanitizer labeled keep out of reach of children was stored below 5ft. from the finished floor and paint was peeling on the wall in Space #2, the toilet seat in the boys bathroom was broken in Space #12, the based board molding was detached from the wall exposing holes near the back exit door in Space #14. The tile under the swings on playground #3 was protruding posing tripping hazards, and the metal weather strip attached to the outside door of Space #14 was detached exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of Champagne Toast air freshener in an aerosol dispensed can was on base of the half door to the bathroom used by children in Space #8. An employee’s purse hanging behind the door was within reach of children. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Written authorization was not on file for a tube Destitin diaper cream observed in a child's cubby in Space #8. 10A NCAC 09 .0803(1)(a & b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Documentation was not on file verifying eight employees completed or renewed first aid training as required. .1102(d) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Emergency and identifying information of file in the transportation notebook for ten children did not include photographs. 10A NCAC 09 .1003(d) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Documentation verifying completion of an annual evaluation was not on file for one employee hired on 7/1/2019. The last evaluation on file was dated for 11/20/2023. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A health assessment was not on file for three preschool children within 30 days of enrollment as required. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not on file for two preschool children within 30 days of enrollment. 10A NCAC 09 .0302(d)(2) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file and available for review for a therapist (Valerie Bell-Grantham) observed providing services to a child alone in Space #13. G.S. 110-90.2(b) & (d) & .2703(e) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Documentation was not on file acknowledging parents receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for three preschool children. .0608(b)(1-6) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before January 14, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of December 30, 2024. CORPORATION STATUS: Child Development School North Carolina LLC is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Child Development School North Carolina LLC remains current and active. Prior to making any changes in the ownership status contact me to discuss change of ownership procedures. Failure to comply could impact the program license status. CRIMINAL BACKGROUND CHECKS: A therapist (Valerie Bell-Grantham) was observed providing services to a child alone in Space #13. When asked, you stated the center did not have a valid qualification letter on file for the therapist. You spoke with the therapist during the visit and was told a qualification letter was not available to provide. According to you Ms. Bell-Grantham would check for the qualification letter upon returning to her home base and would email to the center if found. Based on my review of the regulatory system, Ms. Bell-Grant was previously qualified; however, the qualification expired on December 13, 2024. You stated you were not aware a qualification letter was required for the therapists. I explained therapist who provides services to children alone are required to complete a criminal background check through the Division of Child Development and Early Education and receive a valid qualification. Ms. Bell-Grantham has fifteen (January 15, 2025) days from today to complete the criminal background check process and receive a valid qualification letter. A copy of the valid qualification letter must be kept on file and available for review during monitoring visits. The qualification letter must also be submitted along with the compliance letter. If a criminal background check is not completed and qualification letter provided, Ms. Bell-Grantham cannot return to provide service to children until received. SAFE INDOOR/OUTDOOR ENVIRONMENT: You accompanied me on a walk through to observe the potential hazards identified during monitoring. Staff removed the air freshener, torn pillow, and hand sanitizer during the visit. You stated a work order would be submitted to correct the other items. It was suggested asking staff to conduct a safety check of their classrooms for hazardous items prior to children arriving each day and remove any potential hazards identified immediately. Providing a safe environment for children creates a space where they can be curious, explore, and thrive. Be reminded it is your responsibility to ensure a safe environment is always provided for children in care. MEDICATION REQUIREMENTS: A tube of Destitin diaper cream was in a child’s cubby in Space #8; however, there was no written documentation providing permission to administer the cream. Staff stated they were not aware the cream had been placed in the cubby. I advised you to have staff check children’s cubbies daily. Staff should also encourage parents to notify them when items such as diaper cream or medication is brought in for their children to ensure the necessary paperwork is completed and it is stored properly. Checking children cubbies each day after arrival will also help staff identify items they have not been notified of by parents and the opportunity to speak with parents to request the necessary paperwork. SPECIALIZED TRAININGS: Documentation verifying completion of First Aid training was not on file for eight employees as required. The certificates on file did not include first aid training as a component. The training certificate specified CPR and AED training. You stated you would notify the director so that she could follow-up with the instructor regarding what components were offered to staff when the training was completed. I recommended checking certificates upon receipt for accuracy and to determine if required information and training has been included. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. ANNUAL IMMUNIZATION REPORT EXTENSION: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. Click here to submit your report. Send any questions regarding child care immunization reporting to immunization.reports@dhhs.nc.gov. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: KATISHA FARMER Operation Type: Center Case Number: 0624-336A Visit Date: 11/25/2024 Number Present: 76 Completed Date: 11/25/2024 Age: From 0 To 5 Total Minutes: 45 Time In: 09:30 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Erika Wooten, Director, was present and assisted me during the visit. Limited monitoring of child care requirements occurred during today’s visit. Violations were confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member grabbed a child by his shirt or arm causing the child to hit his neck on the cubby, in addition the staff member allowed other children to verbally harass the child. G.S. 110-91(10) You may contact me Katisha Farmer, Consultant, 252 373-8547, Katisha.farmer@dhhs.nc.gov or Corrie Davenport, Supervisor, corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 113 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for the facility’s first temporary time period visit. Upon arrival, the facility administrator was not present. The assistant administrator, A.Coleman, was present and stated the facility administrator was attending a district meeting today. Ms. Coleman was available to answer my questions and provide needed information to complete the visit today. At the conclusion of today’s visit, I provided Ms. Coleman with a visit summary that explained a computerized visit summary would be emailed within the next few business days. I reviewed the violations documented today with Ms. Coleman. The facility’s Temporary License was issued January 8, 2024, and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 228 children aged 0 through 12 years old and meeting both enhanced space and enhanced ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses High Reach Learning. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. As this is a change of ownership, new building, fire, and sanitation inspections must be completed prior to July 8, 2024. A sanitation inspection was completed January 22, 2024, with a superior classification. Two (2) demerits were cited. A fire inspection was completed January 19, 2024, and the facility was approved for day time and night time care; however, this facility is licensed to provide care during first shift only. You emailed me a copy of a building inspection that was completed January 29, 2024. After reviewing the inspection, clarifications are needed regarding how most of the questions were answered. Most of the questions were answered with a “N/A” answer, when some of the questions required a written response and specific numbers. I will contact the building inspector that completed the inspection for clarification. I did not collect the original inspection today as the person assisting me today was not sure where the original inspection was kept on file. A total of 113 children were present today. Overall enrollment was not collected today; however, attendance was documented. I monitored three specific groups, (Rooms 2, 8, and 12), of children today based on the ages present. This facility operates with 14 rooms used for child care. Two of the 14 rooms are used to care for school-aged children. No school aged children were observed today. I observed children playing outdoors within the fenced play areas, participating in free choice time and playing with materials, interacting with assigned staff, and preparing to eat lunch. The infants were observed also interacting with assigned staff, being fed, resting, and playing with materials that were accessible. The fenced outdoor play areas were monitored along with two mini buses that are being used to transport school aged children to and from school. A third bus was observed, however, when asked, this bus was not being used at this time due to recent repairs/maintenance. The following violations were documented today: Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical exam was not on file for a child that was enrolled March 5, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for a child that was enrolled March 5, 2024. 10A NCAC 09 .0302(d)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The woodchips, used as surfacing, measured one (1) to two (2) inches at the base of the slide on the only piece of stationary equipment on playground #4. .0605(k)(1-4) The violations documented today must be corrected immediately. Mail or email me a compliance letter addressing the correction of the violations within the next two weeks, on or before April 24, 2024. My contact information is listed below: PO Box 1397 Elm City, NC 27822 ramie.doll@dhhs.nc.gov COMPLIANCE HISTORY: The facility’s compliance history will be calculated after today’s visit. All licensed child care facilities must maintain at least a 75% compliance history score over an eighteen-month time frame. If a facility’s compliance history score falls below 75% some type of administrative action may be imposed. RATED LICENSE INFORMATION: In your planning year, you may review resources available at www.ncrlap.org and contact the Wilson County Partnership for Children at (252)206-4235 for assistance with preparation for the Environment Rating Scales. Review topics related to the Environment Rating Scales or other quality initiatives. This facility is in cohort 2 based on when the facility completed the last reassessment. The reassessment year for this facility begins July 1, 2025. Also, be reminded that you may voluntarily request a reassessment at any time by contacting your assigned Child Care Consultant. This facility can transition back to the star license that the facility was issued prior to the change of ownership but will have to be reassessed within the assigned cohort year. Education Standards: WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) username and password. Only official transcripts will be submitted to the Workforce Education Unit, all other documents will be uploaded by the applicant, such as a BSAC certificate. Electronic official transcripts are also accepted. All staff need to ensure current education information has been submitted to WORKS and they have requested the appropriate evaluation for their position. It typically takes WORKS 4-6 weeks to complete an evaluation. RULE REMINDERS/TECHNICAL ASSISTANCE: CHILDREN’S RECORDS: Three children’s records were monitored today. I chose three records for children that have been enrolled since the change of ownership became effective January 8, 2024. Copies of a completed health assessment and immunization records were not on file for one child that was enrolled March 5, 2024. Ms. Coleman contacted the child’s mother during the visit and was told she would email copies of the assessment and immunization record today; however, the information was not received prior to the conclusion of today’s visit. Two violations were documented regarding the medical and immunization record not being on file as required. Ensure parents obtain a medical exam and immunization records within the first 30 days of enrollment. A medical exam can be accepted if completed within the last 12 month prior to enrollment. Continue to remind parents to update their contact information, emergency contact information, etc. as needed, but at least annually. OUTDOOR PLAY AREAS: The fenced outdoor play areas were monitored today. This facility has some stationary pieces of equipment that require adequate surfacing underneath and around the pieces of the equipment. The woodchips, used as surfacing, for the one (1) piece of stationary equipment located on Playground 4 measured between one (1) and two (2) inches at the base area of the slide, not the required six (6) inches. We discussed adding surfacing underneath and around this piece of equipment and also fluff/till the woodchips underneath all of the stationary pieces of equipment to ensure resiliency is maintained. Make sure to also continue to check the shade shelters and remove any wasp nests, if seen. No wasp nests were observed today. Continue to remove any dead tree branches from the trees within the fenced areas and on the outside of the fenced areas that have branches hanging into the fenced areas. STAFF RECORDS: You emailed me a completed staff and training worksheet prior to today’s visit. According to the received staff and training worksheets, three staff have been hired since the last monitoring visit, (Routine Unannounced), was conducted November 20, 2023. I reviewed all files to ensure all staff have current criminal background check qualification letters, CPR and First Aid training, and ITS-SIDS training. Ensure staff complete the CBC qualification process and are qualified before the expiration date of their qualification. The criminal record check process can be completed up to six months before the expiration date of a person’s qualification letter. Continue to ensure staff update their health questionnaires and emergency information annually, or when information changes. You stated staff update their health questionnaires and emergency information twice a year. Ensure staff continue working on their on-going training hours and their health and safety training. Continue to attach their certificates to their record of on-going training log and their health and safety log. ITS-SIDS TRAINING: We reviewed that someone must always be present with current ITS-SIDS training in the room when caring for infants. One staff member is new and does not have ITS-SIDS training yet and is assigned to care for infants. This staff member was present today but was not left alone to care for infants. TRANSPORTATION: Two mini buses were monitored today that are used to transport school aged children to and from school each day. All seat belts were checked and were in working order today. While monitoring the buses, I observed names above each seat that specified a child’s name and either a “W” or an “A” beside their name. “W” represents “window” and “A” represents “aisle”. You stated this is the seating chart used for the children that ride the buses. Remember to update the names when changes are necessary to keep this information current. Continue to maintain a copy of the current liability coverage/insurance information for the buses on file for review. Continue to attach current pictures of each child to the application for the children who are transported. Ensure you obtain updated written signed permission for routine transportation from each child’s parent/guardian before the expiration of the current transportation permission. MEDICATION: When asked, no one is currently taking any medication at this time. LEAD WATER, LEAD PAINT, AND ASBESTOS TESTING: We reviewed information pertaining to lead water, lead paint, and asbestos testing. Per information reviewed on the Clean Water for US Kids website: www.cleanwaterforuskids.org, lead water testing for this facility was analyzed January 4, 2024, and no lead water hazards were identified. Lead water testing is required every three years prior to the last analysis date. You must go ahead and complete the enrollment webinar and survey for both lead paint and asbestos testing by May 1, 2024. PROCESSING RATED LICENSE: Once the building inspection is completed and reviewed, the rated license paperwork can be completed and processed for this facility. An additional unannounced temporary time period visit may be conducted in the near future. This facility’s rated license will be processed based on the last reassessment and then the next reassessment will be completed based on the facility’s cohort year. Contact me at (252)373-3074 or via email at ramie.doll@dhhs.nc.gov for any questions or needed clarification. 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

GS 110-91 · Violation

Name of Operation: Childcare Network #324 Facility ID: 98000234 Consultant: RAMIE DOLL Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 113 Completed Date: 4/10/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements for the facility’s first temporary time period visit. Upon arrival, the facility administrator was not present. The assistant administrator, A.Coleman, was present and stated the facility administrator was attending a district meeting today. Ms. Coleman was available to answer my questions and provide needed information to complete the visit today. At the conclusion of today’s visit, I provided Ms. Coleman with a visit summary that explained a computerized visit summary would be emailed within the next few business days. I reviewed the violations documented today with Ms. Coleman. The facility’s Temporary License was issued January 8, 2024, and is valid through July 8, 2024. Restrictions on the permit include a first shift capacity of 228 children aged 0 through 12 years old and meeting both enhanced space and enhanced ratios. The program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled; this program uses High Reach Learning. According to the North Carolina Secretary of State website, your corporation Child Development Schools North Carolina, LLC is current and active. As this is a change of ownership, new building, fire, and sanitation inspections must be completed prior to July 8, 2024. A sanitation inspection was completed January 22, 2024, with a superior classification. Two (2) demerits were cited. A fire inspection was completed January 19, 2024, and the facility was approved for day time and night time care; however, this facility is licensed to provide care during first shift only. You emailed me a copy of a building inspection that was completed January 29, 2024. After reviewing the inspection, clarifications are needed regarding how most of the questions were answered. Most of the questions were answered with a “N/A” answer, when some of the questions required a written response and specific numbers. I will contact the building inspector that completed the inspection for clarification. I did not collect the original inspection today as the person assisting me today was not sure where the original inspection was kept on file. A total of 113 children were present today. Overall enrollment was not collected today; however, attendance was documented. I monitored three specific groups, (Rooms 2, 8, and 12), of children today based on the ages present. This facility operates with 14 rooms used for child care. Two of the 14 rooms are used to care for school-aged children. No school aged children were observed today. I observed children playing outdoors within the fenced play areas, participating in free choice time and playing with materials, interacting with assigned staff, and preparing to eat lunch. The infants were observed also interacting with assigned staff, being fed, resting, and playing with materials that were accessible. The fenced outdoor play areas were monitored along with two mini buses that are being used to transport school aged children to and from school. A third bus was observed, however, when asked, this bus was not being used at this time due to recent repairs/maintenance. The following violations were documented today: Violation Number Comment Rule 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. A medical exam was not on file for a child that was enrolled March 5, 2024. GS 110-91(1);.0302(d)(2); .0304(g) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Immunization records were not on file for a child that was enrolled March 5, 2024. 10A NCAC 09 .0302(d)(2) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The woodchips, used as surfacing, measured one (1) to two (2) inches at the base of the slide on the only piece of stationary equipment on playground #4. .0605(k)(1-4) The violations documented today must be corrected immediately. Mail or email me a compliance letter addressing the correction of the violations within the next two weeks, on or before April 24, 2024. My contact information is listed below: PO Box 1397 Elm City, NC 27822 ramie.doll@dhhs.nc.gov COMPLIANCE HISTORY: The facility’s compliance history will be calculated after today’s visit. All licensed child care facilities must maintain at least a 75% compliance history score over an eighteen-month time frame. If a facility’s compliance history score falls below 75% some type of administrative action may be imposed. RATED LICENSE INFORMATION: In your planning year, you may review resources available at www.ncrlap.org and contact the Wilson County Partnership for Children at (252)206-4235 for assistance with preparation for the Environment Rating Scales. Review topics related to the Environment Rating Scales or other quality initiatives. This facility is in cohort 2 based on when the facility completed the last reassessment. The reassessment year for this facility begins July 1, 2025. Also, be reminded that you may voluntarily request a reassessment at any time by contacting your assigned Child Care Consultant. This facility can transition back to the star license that the facility was issued prior to the change of ownership but will have to be reassessed within the assigned cohort year. Education Standards: WORKS is a self-service applicant portal that will be used by an individual applicant to register and maintain their workforce information to support education requirements. The WORKS portal is available online and requires that the user maintain an individual North Carolina Identity Management (NCID) username and password. Only official transcripts will be submitted to the Workforce Education Unit, all other documents will be uploaded by the applicant, such as a BSAC certificate. Electronic official transcripts are also accepted. All staff need to ensure current education information has been submitted to WORKS and they have requested the appropriate evaluation for their position. It typically takes WORKS 4-6 weeks to complete an evaluation. RULE REMINDERS/TECHNICAL ASSISTANCE: CHILDREN’S RECORDS: Three children’s records were monitored today. I chose three records for children that have been enrolled since the change of ownership became effective January 8, 2024. Copies of a completed health assessment and immunization records were not on file for one child that was enrolled March 5, 2024. Ms. Coleman contacted the child’s mother during the visit and was told she would email copies of the assessment and immunization record today; however, the information was not received prior to the conclusion of today’s visit. Two violations were documented regarding the medical and immunization record not being on file as required. Ensure parents obtain a medical exam and immunization records within the first 30 days of enrollment. A medical exam can be accepted if completed within the last 12 month prior to enrollment. Continue to remind parents to update their contact information, emergency contact information, etc. as needed, but at least annually. OUTDOOR PLAY AREAS: The fenced outdoor play areas were monitored today. This facility has some stationary pieces of equipment that require adequate surfacing underneath and around the pieces of the equipment. The woodchips, used as surfacing, for the one (1) piece of stationary equipment located on Playground 4 measured between one (1) and two (2) inches at the base area of the slide, not the required six (6) inches. We discussed adding surfacing underneath and around this piece of equipment and also fluff/till the woodchips underneath all of the stationary pieces of equipment to ensure resiliency is maintained. Make sure to also continue to check the shade shelters and remove any wasp nests, if seen. No wasp nests were observed today. Continue to remove any dead tree branches from the trees within the fenced areas and on the outside of the fenced areas that have branches hanging into the fenced areas. STAFF RECORDS: You emailed me a completed staff and training worksheet prior to today’s visit. According to the received staff and training worksheets, three staff have been hired since the last monitoring visit, (Routine Unannounced), was conducted November 20, 2023. I reviewed all files to ensure all staff have current criminal background check qualification letters, CPR and First Aid training, and ITS-SIDS training. Ensure staff complete the CBC qualification process and are qualified before the expiration date of their qualification. The criminal record check process can be completed up to six months before the expiration date of a person’s qualification letter. Continue to ensure staff update their health questionnaires and emergency information annually, or when information changes. You stated staff update their health questionnaires and emergency information twice a year. Ensure staff continue working on their on-going training hours and their health and safety training. Continue to attach their certificates to their record of on-going training log and their health and safety log. ITS-SIDS TRAINING: We reviewed that someone must always be present with current ITS-SIDS training in the room when caring for infants. One staff member is new and does not have ITS-SIDS training yet and is assigned to care for infants. This staff member was present today but was not left alone to care for infants. TRANSPORTATION: Two mini buses were monitored today that are used to transport school aged children to and from school each day. All seat belts were checked and were in working order today. While monitoring the buses, I observed names above each seat that specified a child’s name and either a “W” or an “A” beside their name. “W” represents “window” and “A” represents “aisle”. You stated this is the seating chart used for the children that ride the buses. Remember to update the names when changes are necessary to keep this information current. Continue to maintain a copy of the current liability coverage/insurance information for the buses on file for review. Continue to attach current pictures of each child to the application for the children who are transported. Ensure you obtain updated written signed permission for routine transportation from each child’s parent/guardian before the expiration of the current transportation permission. MEDICATION: When asked, no one is currently taking any medication at this time. LEAD WATER, LEAD PAINT, AND ASBESTOS TESTING: We reviewed information pertaining to lead water, lead paint, and asbestos testing. Per information reviewed on the Clean Water for US Kids website: www.cleanwaterforuskids.org, lead water testing for this facility was analyzed January 4, 2024, and no lead water hazards were identified. Lead water testing is required every three years prior to the last analysis date. You must go ahead and complete the enrollment webinar and survey for both lead paint and asbestos testing by May 1, 2024. PROCESSING RATED LICENSE: Once the building inspection is completed and reviewed, the rated license paperwork can be completed and processed for this facility. An additional unannounced temporary time period visit may be conducted in the near future. This facility’s rated license will be processed based on the last reassessment and then the next reassessment will be completed based on the facility’s cohort year. Contact me at (252)373-3074 or via email at ramie.doll@dhhs.nc.gov for any questions or needed clarification. 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