A Child'S World Learning Center South

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/24/2026 Number Present: 100 Completed Date: 3/24/2026 Age: From 0 To 5 Total Minutes: 170 Time In: 08:30 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Brandy Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 02/03/2026 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, group time, and eating breakfast. Four new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 03/03/2026. A fire drill was recorded 02/23/2026. A shelter in place drill for the facility was recorded 03/16/2026. The most recent fire inspection was on 05/20/2025. I observed a sanitation inspection was last conducted on 12/23/2025 earning a superior classification. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2026 and the insurance is valid through 03/01/2027. I also observed a 2001 Ford E-350 Van, PSE-9543. This vehicle was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2026 and the insurance is valid through 03/01/2027. You stated that your other vehicle is in the shop, so you are borrowing this vehicle from a sister site. The following violation was cited during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. During the visit, I observed one (1) employee file that did not have documentation of completing a First Aid training within ninety (90) days of hire. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/07/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all employees must have CPR and First Aid within ninety (90) days of hire. The one employee discussed today had a valid CPR/AED card, but it did not specify that she had completed First Aid. You stated you have a training scheduled for the new employees on 04/09/2026 and you would add her to the roster. We discussed that since this training was scheduled for two (2) days after your compliance letter is due, that you would need to email me an extension request for this violation. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • Make sure on the ABCMS Provider Portal you hire all qualified and current employees. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 81 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:15 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 08/11/2025 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/22/2024. A sanitation inspection was completed 05/29/2025 with a superior classification. The last fire inspection was conducted 05/20/2025. Program records and required postings were monitored. A fire drill was conducted on 09/10/2025. A lockdown drill was documented on 06/12/2025. An outdoor inspection was documented on 09/02/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2026 and the insurance is valid through 03/01/2026. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2026 and the insurance is valid through 03/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a lattice tunnel that was broken in several places on the playground designated for preschool aged children. .0601(c) 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. During the visit, I observe an unlocked cabinet in space 4B that contained cleaning supplies. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. During the visit, I observed four (4) diaper creams that were not returned to the parent after the authorization had expired in space 3A. .0803(12) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observe that one (1) employee was not reported to DCDEE using the ABCMS Provider Portal within five (5) business days. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed one (1) bug spray that did not have a medication authorization form on file in space 2B. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the lattice tunnel on the playground designated for preschool aged children is broken in several places exposing sharp edges. This will need to be repaired or removed. • We discussed that all medications must have an authorization form on file at all times. You stated you would have the parent complete the form. • We discussed that diaper creams should be sent home with the parent when they are no longer being used or a child disenrolls. You stated you would send the diaper creams home today that were no longer being used. • We discussed that cabinets holding teacher storage or cleanings supplies must be locked at all times. You stated the lock had broken and a new lock is being order to place on the cabinet that was unlocked during the visit. • We discussed that new employees must be reported to DCDEE within five (5) business days using the ABCMS provider portal. F. Dagnoko was not listed on the roster and needs to be added immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you have an emergency drill this month. • Make sure you add all substitutes that will be on site to your staff and training worksheets and the ABCMS provider portal. • Make sure you are signed up to receive the Raise NC Newsletters as information will be shared with you all about important DCDEE updates through these newsletters. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • On the ABCMS Provider Portal, make sure all employees are hired. Also, make sure you delete all expired employees and maintain a current roster. J. Manness has a more current CBC letter and needs to be linked. A. Clark and B. Leak need to be added to the portal as existing employees. M. Grainger needs to be added to the portal by 09/20/2025 as a new employee. • One employee has a BLS certification. This individual will need a first aid card on file by December 2025. • The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 childcare rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025, rule book, and view information in the DCDEE Moodle (Enroll if you haven’t yet). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. Please see the email I sent out on 09/08/2025 for links and more information. • Please join us for our upcoming administrator meeting as we provide additional guidance on the changes, the transition plan, and timeline. We are offering two meetings. The same information will be presented at both meetings. One is an in-person meeting, and one is a virtual meeting to help meet the needs of our providers. Both meetings will be held on the same date at the same time. The center provider meeting will be held on 09/30/2025 at 12:00 p.m. Please see the email I sent out on 09/05/2025 for more information. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 9/17/2025 Number Present: 81 Completed Date: 9/17/2025 Age: From 0 To 5 Total Minutes: 235 Time In: 08:15 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 08/11/2025 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 10/22/2024. A sanitation inspection was completed 05/29/2025 with a superior classification. The last fire inspection was conducted 05/20/2025. Program records and required postings were monitored. A fire drill was conducted on 09/10/2025. A lockdown drill was documented on 06/12/2025. An outdoor inspection was documented on 09/02/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2026 and the insurance is valid through 03/01/2026. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2026 and the insurance is valid through 03/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a lattice tunnel that was broken in several places on the playground designated for preschool aged children. .0601(c) 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. During the visit, I observe an unlocked cabinet in space 4B that contained cleaning supplies. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. During the visit, I observed four (4) diaper creams that were not returned to the parent after the authorization had expired in space 3A. .0803(12) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. During the visit, I observe that one (1) employee was not reported to DCDEE using the ABCMS Provider Portal within five (5) business days. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. During the visit, I observed one (1) bug spray that did not have a medication authorization form on file in space 2B. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 10/01/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the lattice tunnel on the playground designated for preschool aged children is broken in several places exposing sharp edges. This will need to be repaired or removed. • We discussed that all medications must have an authorization form on file at all times. You stated you would have the parent complete the form. • We discussed that diaper creams should be sent home with the parent when they are no longer being used or a child disenrolls. You stated you would send the diaper creams home today that were no longer being used. • We discussed that cabinets holding teacher storage or cleanings supplies must be locked at all times. You stated the lock had broken and a new lock is being order to place on the cabinet that was unlocked during the visit. • We discussed that new employees must be reported to DCDEE within five (5) business days using the ABCMS provider portal. F. Dagnoko was not listed on the roster and needs to be added immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure you have an emergency drill this month. • Make sure you add all substitutes that will be on site to your staff and training worksheets and the ABCMS provider portal. • Make sure you are signed up to receive the Raise NC Newsletters as information will be shared with you all about important DCDEE updates through these newsletters. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • On the ABCMS Provider Portal, make sure all employees are hired. Also, make sure you delete all expired employees and maintain a current roster. J. Manness has a more current CBC letter and needs to be linked. A. Clark and B. Leak need to be added to the portal as existing employees. M. Grainger needs to be added to the portal by 09/20/2025 as a new employee. • One employee has a BLS certification. This individual will need a first aid card on file by December 2025. • The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2025 childcare rule changes. The Child Care Commission adopted rules to support QRIS modernization. The new section, .3200, provides the standards for earning a two-though five-star-rated license. There are three pathways: program assessment, classroom and instructional quality, and accreditation and head start. To support the QRIS changes, additional rules were amended within the following sections: definitions, developmental day services, and NC Pre-Kindergarten services. Consultants will assist as you begin to review the changes, but please note some of the rule changes may not impact your facility. DCDEE has provided a summary of the changes, but for specific details regarding these changes, please ensure you are using the updated July 1, 2025, rule book, and view information in the DCDEE Moodle (Enroll if you haven’t yet). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. Please see the email I sent out on 09/08/2025 for links and more information. • Please join us for our upcoming administrator meeting as we provide additional guidance on the changes, the transition plan, and timeline. We are offering two meetings. The same information will be presented at both meetings. One is an in-person meeting, and one is a virtual meeting to help meet the needs of our providers. Both meetings will be held on the same date at the same time. The center provider meeting will be held on 09/30/2025 at 12:00 p.m. Please see the email I sent out on 09/05/2025 for more information. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: 0725-014L Visit Date: 7/8/2025 Number Present: 112 Completed Date: 7/8/2025 Age: From 0 To 9 Total Minutes: 195 Time In: 11:55 AM Time Out: 03:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Brandi Johnson, Director. The allegations are as follows: There are allegations of violations of childcare requirements regarding a safe environment, supervision, and discipline in the toddler classrooms. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. A walkthrough of the facility was conducted during the visit. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 07/02/2025 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are allegations of violations of childcare requirements regarding a safe environment in the toddler classrooms. Observation #1: During today’s visit, I observed spaces TodA, TodB, and TodC, classrooms designated for toddler aged children. I interviewed nine (9) employees including the Director, the Assistant Director, five (5) teachers, and two (2) floaters. All employees stated the facility has a no smoking and tobacco policy and that no smoking or tobacco items are allowed to be on the premise. I also observed the facility’s tobacco policy. The policy stated the facility is smoke and tobacco free. The policy also stated that smoking or tobacco products are not allowed on the premise, in vehicles used to transport children, or during off-premises activities. The policy also states that all smoking and tobacco products must be kept in locked storage. I did not observe any evidence of smoking or tobacco products at the facility during the visit. Conclusion #1: Based on the above information and observations during today’s visit, there was not enough information to support the allegation. This allegation was unsubstantiated. Allegation #2: There are allegations of violations of childcare requirements regarding supervision in the toddler classrooms. Observation #2: During today’s visit, I observed spaces TodA, TodB, and TodC, classrooms designated for toddler aged children. I observed teachers in each space interacting with children, supervising naptime, and completing routine maintenance in the classroom. Supervision was adequate during the visit. I interviewed nine (9) employees including the Director, the Assistant Director, five (5) teachers, and two (2) floaters. All employees stated they supervise children by watching them, interacting with them, and working with them individually or in groups to ensure all needs are met. During the visit, all nine (9) employees confirmed that they were aware of an incident that occurred on June 30th, 2025. It was reported that during naptime time, a one (1) year old child was in space TodB and was found to have a used cigarette butt in her mouth. Teaching staff stated they found the cigarette butt in the child’s mouth when they approached the child to get her up from nap at which point the child pulled the cigarette butt out of her mouth and handed it to the teacher. All employees stated they did not know where the cigarette butt came from or how long the child had the cigarette butt in her mouth. I also observed the facility’s supervision policy. The policy outlines childcare rule NCAC 09 .1801. The policy discusses how to supervise children during all times of the day including how to interact with children indoors and outdoors. Conclusion #2: Based on the above information and observations during today’s visit, there was enough information to support the allegation. This allegation was substantiated. Allegation #3: There are allegations of violations of childcare requirements regarding discipline in the toddler classrooms. Observation #3: During today’s visit, I observed spaces TodA, TodB, and TodC, classrooms designated for toddler aged children. I observed teachers in each space interacting with children, supervising naptime, and completing routine maintenance in the classroom. Supervision was adequate during the visit. I interviewed nine (9) employees including the Director, the Assistant Director, five (5) teachers, and two (2) floaters. I asked the Director if she was aware of any concerns regarding discipline. She stated she was aware of an incident that occurred with a former employee regarding interactions with a child but that it was not related to discipline. The Director stated the incident was reviewed on now expired video footage and there was no evidence of improper discipline but that the incident did not meet the standards of the facility regarding interactions between staff and children. All employees stated they use redirection or time away for discipline. I also observed the facility’s discipline policy. The policy stated the teachers are to use praise and rewards or time away as a form of discipline. Conclusion #3: Based on the above information and observations during today’s visit, there was not enough information to support the allegation. This allegation was unsubstantiated. The following violations were cited during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During the visit, nine (9) employees confirmed that they were aware of an incident that occurred on June 30th, 2025. It was reported that during naptime time, a one (1) year old child was in space TodB and was found to have a used cigarette butt in her mouth for an unknown amount of time. .1801(a)(1-5) 1848 The child care environment was not smoke and/or tobacco free. During the visit, it was confirmed that on June 30th, 2025, a one (1) year old child in space TodB was found to have a used cigarette butt in her mouth. .0604(h) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 07/22/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. A follow-up visit will be conducted to monitor compliance with applicable childcare requirements. Pending the information received during the investigation, an administrative action may be recommended. Technical assistance discussed during today’s visit related to violations: • We discussed that all tobacco materials including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, should not be permitted on the premises of the childcare center, in vehicles used to transport children, or during any off-premises activities. We discussed that all smoking materials should be kept in locked storage. It is important to ensure that any employees or family members entering the facility is aware of this policy and be aware of any tobacco materials that may be dropped in the classroom. It is important for teachers to monitor spaces used by children to ensure that tobacco materials are not accessible to children as these can prevent serious hazards to children. We discussed that a plan should be implemented to ensure that the tobacco policy is being followed at all times. • We discussed that children should be properly supervised at all times. Staff must know where each child is located and be aware of the children's activities at all times. During naptime, not all children may sleep. It is important that teachers circulate the classroom and monitor children during naptime so they can ensure they know the children’s activities during this time rather the child is napping or laying quietly. Observing children during naptime is critical to ensure the health and safety of the children are being met rather they are awake or asleep. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • We discussed having conversations with staff to ensure that they have different tools and resources to use during various situations where challenging behaviors may present themselves. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 109 Completed Date: 4/22/2025 Age: From 0 To 7 Total Minutes: 150 Time In: 08:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Brandi Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 03/17/2025 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Four new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 04/02/2025. A fire drill was recorded 03/31/2025. A shelter in place drill for the facility was recorded 03/05/2025. The most recent fire inspection was on 04/30/2024. I observed a sanitation inspection was last conducted on 11/25/2024 earning a superior classification. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. You stated one of your vehicles was offsite being repaired today. I monitored one vehicle today. I observed a first aid kit and fire extinguisher on the vehicles. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. On the large playground, I observed several lifted and exposed landscaping border stakes. 10A NCAC 09 .0601(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. During the visit, I observed an EPR plan that was dated for November 2023. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 05/06/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the EPR plan must be reviewed and updated annually. Once you review and update the EPR plan, you can print the first page to reflect the review date. You updated the plan during the visit. • We discussed that the lifted landscaping border stakes can cause potential harm to young children. We discussed that you would need to have these stakes leveled immediately. You stated you would let your maintenance person know about this need. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees 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) 814-6401 and someone will assist you. • We discussed during the visit that you are due for a fire inspection by 04/30/2025. Make sure you get a fire inspection before then. Once you receive your fire inspection, please email me a copy. • We discussed that prescription medication forms are valid for six (6) months and should be recorded on the correct form documenting this time frame. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/22/2025 Number Present: 109 Completed Date: 4/22/2025 Age: From 0 To 7 Total Minutes: 150 Time In: 08:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Brandi Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 03/17/2025 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Four new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 04/02/2025. A fire drill was recorded 03/31/2025. A shelter in place drill for the facility was recorded 03/05/2025. The most recent fire inspection was on 04/30/2024. I observed a sanitation inspection was last conducted on 11/25/2024 earning a superior classification. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. You stated one of your vehicles was offsite being repaired today. I monitored one vehicle today. I observed a first aid kit and fire extinguisher on the vehicles. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2026. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I did not observe any safety concerns indoors. On the large playground, I observed several lifted and exposed landscaping border stakes. 10A NCAC 09 .0601(a) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. During the visit, I observed an EPR plan that was dated for November 2023. .0607(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 05/06/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the EPR plan must be reviewed and updated annually. Once you review and update the EPR plan, you can print the first page to reflect the review date. You updated the plan during the visit. • We discussed that the lifted landscaping border stakes can cause potential harm to young children. We discussed that you would need to have these stakes leveled immediately. You stated you would let your maintenance person know about this need. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees 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) 814-6401 and someone will assist you. • We discussed during the visit that you are due for a fire inspection by 04/30/2025. Make sure you get a fire inspection before then. Once you receive your fire inspection, please email me a copy. • We discussed that prescription medication forms are valid for six (6) months and should be recorded on the correct form documenting this time frame. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 102 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 08:45 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker and Turkessha Casterlow, Childcare Consultants, with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/19/2024 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/13/2023. A sanitation inspection was completed 09/09/2024 with a superior classification. The last fire inspection was conducted 04/30/2024. Program records and required postings were monitored. A fire drill was conducted on 10/18/2024. A lockdown drill was documented on 08/15/2024. An outdoor inspection was documented on 10/01/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2025 and the insurance is valid through 03/01/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. During the visit, I did not observe a current activity plan in spaces TodA and SA. A current activity plan was posted in space TodA during the visit but the SA activity plan could not be located. GS 110-91(12); .0508(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. During the visit, I observed some home living and block play materials in space TodB. I observed a shelf that was turned around and inaccessible to children with manipulative and music toys stored on the shelf. .0510 (e ) (1)(A-G) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground designated for preschool children that had exposed rust and cracking plastic on the steps. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed several broken pieces of plastic toys on the playground designated for school-age children. 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. During the visit, I observed a first aid kit on one bus used to transport children containing antiseptic wipes and body fluid powder, not in locked storage. I observed a bottle of hands sanitizer stored in a cup holder of a bus used to transport children. I observed a staff back pack that had perfume stored in the side pocket hanging on a door not in locked storage in space SA. .2820(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. During the visit, I observed one tube of Nystatin ointment not store in its original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. During the visit, I observed a diaper cream form in space InfA and a diaper cream form in space TodA that did not include all the required information on the authorization form. I observed a Chapstick in space 3A that did not have a medication authorization form on file for review. 10A NCAC 09 .0803(4)(6-9) 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. During the visit, I observed bus binders that did not include emergency identifying information for all children documented on the bus log. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. During the visit, I observed a bus binder that did not include current permission to transport all children listed on the bus log. .1003(i)(j) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. During the visit, I observed a permission form for an epi-pen for an enrolled child that did not have a medical actin plan attached. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed two existing employee files that had health questionnaires and/or vaccine information stored in their personnel file and not in their separate medical file. .0701(d) 9995 A violation was found for which there is no item number. During the visit, I observed a teacher helping multiple children in space TodA wash hands upon entry from outdoor play. Proper handwashing procedures were not followed. The water was turned off by the teacher using her hands rather than a paper towel. This is a violation of 15A NCAC 18A .2803 HANDWASHING. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all emergency medications must be accompanied by a medical action plan in addition to the medical authorization form. You stated you would reach out to the parent and have this completed. • We discussed ensuring that anything with multiple warning labels must be stored in locked storage. You removed all items from the bus and the classroom designated for school-age children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have emergency information in the binder. This is critical to ensure that you have contact information on each child being transported in case of an emergency. You stated you would update the bus binders immediately. • We discussed that rust must not be accessible to children. Rust can pose a potential harm to children. You stated you would let the administrative team know about the exposed rust on the playground structure. • We discussed doing a walkthrough of the outdoor environments prior to using them to ensure there are no hazards including broken toys. You removed all the broken plastic from the playground designated for school-aged children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have permission to transport forms in the binder. You stated you would update the bus binders immediately. • We discussed that medication authorization forms must be filled out completely as listed in rule including expiration dates of medication and amounts of medications to be used. This is important to ensure the staff are correctly administering medications and not administering expired medications. You stated you would review the medication authorizations for accuracy immediately. • We discussed that you would need to review the proper handwashing procedures with staff to ensure they are always following the correct handwashing steps. You can visit the Health and Safety Resource Center at this link for new posters if needed: https://healthychildcare.unc.edu/resources/posters/ You stated you would review the procedures with the staff. • We discussed that children must have materials accessible to them to meet the areas listed in rule. When shelves are turned around, the materials are considered inaccessible. You stated the afternoon person had turned the shelf at the end of the day, and you opened the shelf during the visit. I recommend speaking to the staff about making sure shelves remained open, so the materials are accessible. • We discussed that activity plans must be current and posted. One teacher was able to post her activity plan during the visit. You stated the activity plan for school-aged children was not on site during the visit and that you would have the teacher create a new one. • We discussed that prescription medications must be in the original packaging. You removed the tube of Nystatin and stated that you would have the parent bring the original packaging or send the medication home. • We discussed that health questionnaires, medical reports, and tuberculosis tests for employees must be maintained in a separate medical file. As you renew the health questionnaires annually, they need to remain in the employee’s medical file. I recommend doing a file audit and removing any of these documents from existing employees’ personnel files and adding them to their medical file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all of your new floaters get SIDS prior to working in the infant classroom. • Keep a check on the cardboard blocks in space 4B. They are beginning to show signs of wear. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Brandi Johnson review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 102 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 08:45 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker and Turkessha Casterlow, Childcare Consultants, with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/19/2024 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/13/2023. A sanitation inspection was completed 09/09/2024 with a superior classification. The last fire inspection was conducted 04/30/2024. Program records and required postings were monitored. A fire drill was conducted on 10/18/2024. A lockdown drill was documented on 08/15/2024. An outdoor inspection was documented on 10/01/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2025 and the insurance is valid through 03/01/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. During the visit, I did not observe a current activity plan in spaces TodA and SA. A current activity plan was posted in space TodA during the visit but the SA activity plan could not be located. GS 110-91(12); .0508(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. During the visit, I observed some home living and block play materials in space TodB. I observed a shelf that was turned around and inaccessible to children with manipulative and music toys stored on the shelf. .0510 (e ) (1)(A-G) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground designated for preschool children that had exposed rust and cracking plastic on the steps. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed several broken pieces of plastic toys on the playground designated for school-age children. 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. During the visit, I observed a first aid kit on one bus used to transport children containing antiseptic wipes and body fluid powder, not in locked storage. I observed a bottle of hands sanitizer stored in a cup holder of a bus used to transport children. I observed a staff back pack that had perfume stored in the side pocket hanging on a door not in locked storage in space SA. .2820(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. During the visit, I observed one tube of Nystatin ointment not store in its original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. During the visit, I observed a diaper cream form in space InfA and a diaper cream form in space TodA that did not include all the required information on the authorization form. I observed a Chapstick in space 3A that did not have a medication authorization form on file for review. 10A NCAC 09 .0803(4)(6-9) 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. During the visit, I observed bus binders that did not include emergency identifying information for all children documented on the bus log. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. During the visit, I observed a bus binder that did not include current permission to transport all children listed on the bus log. .1003(i)(j) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. During the visit, I observed a permission form for an epi-pen for an enrolled child that did not have a medical actin plan attached. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed two existing employee files that had health questionnaires and/or vaccine information stored in their personnel file and not in their separate medical file. .0701(d) 9995 A violation was found for which there is no item number. During the visit, I observed a teacher helping multiple children in space TodA wash hands upon entry from outdoor play. Proper handwashing procedures were not followed. The water was turned off by the teacher using her hands rather than a paper towel. This is a violation of 15A NCAC 18A .2803 HANDWASHING. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all emergency medications must be accompanied by a medical action plan in addition to the medical authorization form. You stated you would reach out to the parent and have this completed. • We discussed ensuring that anything with multiple warning labels must be stored in locked storage. You removed all items from the bus and the classroom designated for school-age children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have emergency information in the binder. This is critical to ensure that you have contact information on each child being transported in case of an emergency. You stated you would update the bus binders immediately. • We discussed that rust must not be accessible to children. Rust can pose a potential harm to children. You stated you would let the administrative team know about the exposed rust on the playground structure. • We discussed doing a walkthrough of the outdoor environments prior to using them to ensure there are no hazards including broken toys. You removed all the broken plastic from the playground designated for school-aged children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have permission to transport forms in the binder. You stated you would update the bus binders immediately. • We discussed that medication authorization forms must be filled out completely as listed in rule including expiration dates of medication and amounts of medications to be used. This is important to ensure the staff are correctly administering medications and not administering expired medications. You stated you would review the medication authorizations for accuracy immediately. • We discussed that you would need to review the proper handwashing procedures with staff to ensure they are always following the correct handwashing steps. You can visit the Health and Safety Resource Center at this link for new posters if needed: https://healthychildcare.unc.edu/resources/posters/ You stated you would review the procedures with the staff. • We discussed that children must have materials accessible to them to meet the areas listed in rule. When shelves are turned around, the materials are considered inaccessible. You stated the afternoon person had turned the shelf at the end of the day, and you opened the shelf during the visit. I recommend speaking to the staff about making sure shelves remained open, so the materials are accessible. • We discussed that activity plans must be current and posted. One teacher was able to post her activity plan during the visit. You stated the activity plan for school-aged children was not on site during the visit and that you would have the teacher create a new one. • We discussed that prescription medications must be in the original packaging. You removed the tube of Nystatin and stated that you would have the parent bring the original packaging or send the medication home. • We discussed that health questionnaires, medical reports, and tuberculosis tests for employees must be maintained in a separate medical file. As you renew the health questionnaires annually, they need to remain in the employee’s medical file. I recommend doing a file audit and removing any of these documents from existing employees’ personnel files and adding them to their medical file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all of your new floaters get SIDS prior to working in the infant classroom. • Keep a check on the cardboard blocks in space 4B. They are beginning to show signs of wear. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Brandi Johnson review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 102 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 08:45 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker and Turkessha Casterlow, Childcare Consultants, with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/19/2024 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/13/2023. A sanitation inspection was completed 09/09/2024 with a superior classification. The last fire inspection was conducted 04/30/2024. Program records and required postings were monitored. A fire drill was conducted on 10/18/2024. A lockdown drill was documented on 08/15/2024. An outdoor inspection was documented on 10/01/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2025 and the insurance is valid through 03/01/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. During the visit, I did not observe a current activity plan in spaces TodA and SA. A current activity plan was posted in space TodA during the visit but the SA activity plan could not be located. GS 110-91(12); .0508(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. During the visit, I observed some home living and block play materials in space TodB. I observed a shelf that was turned around and inaccessible to children with manipulative and music toys stored on the shelf. .0510 (e ) (1)(A-G) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground designated for preschool children that had exposed rust and cracking plastic on the steps. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed several broken pieces of plastic toys on the playground designated for school-age children. 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. During the visit, I observed a first aid kit on one bus used to transport children containing antiseptic wipes and body fluid powder, not in locked storage. I observed a bottle of hands sanitizer stored in a cup holder of a bus used to transport children. I observed a staff back pack that had perfume stored in the side pocket hanging on a door not in locked storage in space SA. .2820(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. During the visit, I observed one tube of Nystatin ointment not store in its original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. During the visit, I observed a diaper cream form in space InfA and a diaper cream form in space TodA that did not include all the required information on the authorization form. I observed a Chapstick in space 3A that did not have a medication authorization form on file for review. 10A NCAC 09 .0803(4)(6-9) 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. During the visit, I observed bus binders that did not include emergency identifying information for all children documented on the bus log. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. During the visit, I observed a bus binder that did not include current permission to transport all children listed on the bus log. .1003(i)(j) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. During the visit, I observed a permission form for an epi-pen for an enrolled child that did not have a medical actin plan attached. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed two existing employee files that had health questionnaires and/or vaccine information stored in their personnel file and not in their separate medical file. .0701(d) 9995 A violation was found for which there is no item number. During the visit, I observed a teacher helping multiple children in space TodA wash hands upon entry from outdoor play. Proper handwashing procedures were not followed. The water was turned off by the teacher using her hands rather than a paper towel. This is a violation of 15A NCAC 18A .2803 HANDWASHING. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all emergency medications must be accompanied by a medical action plan in addition to the medical authorization form. You stated you would reach out to the parent and have this completed. • We discussed ensuring that anything with multiple warning labels must be stored in locked storage. You removed all items from the bus and the classroom designated for school-age children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have emergency information in the binder. This is critical to ensure that you have contact information on each child being transported in case of an emergency. You stated you would update the bus binders immediately. • We discussed that rust must not be accessible to children. Rust can pose a potential harm to children. You stated you would let the administrative team know about the exposed rust on the playground structure. • We discussed doing a walkthrough of the outdoor environments prior to using them to ensure there are no hazards including broken toys. You removed all the broken plastic from the playground designated for school-aged children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have permission to transport forms in the binder. You stated you would update the bus binders immediately. • We discussed that medication authorization forms must be filled out completely as listed in rule including expiration dates of medication and amounts of medications to be used. This is important to ensure the staff are correctly administering medications and not administering expired medications. You stated you would review the medication authorizations for accuracy immediately. • We discussed that you would need to review the proper handwashing procedures with staff to ensure they are always following the correct handwashing steps. You can visit the Health and Safety Resource Center at this link for new posters if needed: https://healthychildcare.unc.edu/resources/posters/ You stated you would review the procedures with the staff. • We discussed that children must have materials accessible to them to meet the areas listed in rule. When shelves are turned around, the materials are considered inaccessible. You stated the afternoon person had turned the shelf at the end of the day, and you opened the shelf during the visit. I recommend speaking to the staff about making sure shelves remained open, so the materials are accessible. • We discussed that activity plans must be current and posted. One teacher was able to post her activity plan during the visit. You stated the activity plan for school-aged children was not on site during the visit and that you would have the teacher create a new one. • We discussed that prescription medications must be in the original packaging. You removed the tube of Nystatin and stated that you would have the parent bring the original packaging or send the medication home. • We discussed that health questionnaires, medical reports, and tuberculosis tests for employees must be maintained in a separate medical file. As you renew the health questionnaires annually, they need to remain in the employee’s medical file. I recommend doing a file audit and removing any of these documents from existing employees’ personnel files and adding them to their medical file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all of your new floaters get SIDS prior to working in the infant classroom. • Keep a check on the cardboard blocks in space 4B. They are beginning to show signs of wear. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Brandi Johnson review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 102 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 08:45 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker and Turkessha Casterlow, Childcare Consultants, with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/19/2024 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/13/2023. A sanitation inspection was completed 09/09/2024 with a superior classification. The last fire inspection was conducted 04/30/2024. Program records and required postings were monitored. A fire drill was conducted on 10/18/2024. A lockdown drill was documented on 08/15/2024. An outdoor inspection was documented on 10/01/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2025 and the insurance is valid through 03/01/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. During the visit, I did not observe a current activity plan in spaces TodA and SA. A current activity plan was posted in space TodA during the visit but the SA activity plan could not be located. GS 110-91(12); .0508(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. During the visit, I observed some home living and block play materials in space TodB. I observed a shelf that was turned around and inaccessible to children with manipulative and music toys stored on the shelf. .0510 (e ) (1)(A-G) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground designated for preschool children that had exposed rust and cracking plastic on the steps. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed several broken pieces of plastic toys on the playground designated for school-age children. 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. During the visit, I observed a first aid kit on one bus used to transport children containing antiseptic wipes and body fluid powder, not in locked storage. I observed a bottle of hands sanitizer stored in a cup holder of a bus used to transport children. I observed a staff back pack that had perfume stored in the side pocket hanging on a door not in locked storage in space SA. .2820(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. During the visit, I observed one tube of Nystatin ointment not store in its original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. During the visit, I observed a diaper cream form in space InfA and a diaper cream form in space TodA that did not include all the required information on the authorization form. I observed a Chapstick in space 3A that did not have a medication authorization form on file for review. 10A NCAC 09 .0803(4)(6-9) 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. During the visit, I observed bus binders that did not include emergency identifying information for all children documented on the bus log. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. During the visit, I observed a bus binder that did not include current permission to transport all children listed on the bus log. .1003(i)(j) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. During the visit, I observed a permission form for an epi-pen for an enrolled child that did not have a medical actin plan attached. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed two existing employee files that had health questionnaires and/or vaccine information stored in their personnel file and not in their separate medical file. .0701(d) 9995 A violation was found for which there is no item number. During the visit, I observed a teacher helping multiple children in space TodA wash hands upon entry from outdoor play. Proper handwashing procedures were not followed. The water was turned off by the teacher using her hands rather than a paper towel. This is a violation of 15A NCAC 18A .2803 HANDWASHING. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all emergency medications must be accompanied by a medical action plan in addition to the medical authorization form. You stated you would reach out to the parent and have this completed. • We discussed ensuring that anything with multiple warning labels must be stored in locked storage. You removed all items from the bus and the classroom designated for school-age children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have emergency information in the binder. This is critical to ensure that you have contact information on each child being transported in case of an emergency. You stated you would update the bus binders immediately. • We discussed that rust must not be accessible to children. Rust can pose a potential harm to children. You stated you would let the administrative team know about the exposed rust on the playground structure. • We discussed doing a walkthrough of the outdoor environments prior to using them to ensure there are no hazards including broken toys. You removed all the broken plastic from the playground designated for school-aged children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have permission to transport forms in the binder. You stated you would update the bus binders immediately. • We discussed that medication authorization forms must be filled out completely as listed in rule including expiration dates of medication and amounts of medications to be used. This is important to ensure the staff are correctly administering medications and not administering expired medications. You stated you would review the medication authorizations for accuracy immediately. • We discussed that you would need to review the proper handwashing procedures with staff to ensure they are always following the correct handwashing steps. You can visit the Health and Safety Resource Center at this link for new posters if needed: https://healthychildcare.unc.edu/resources/posters/ You stated you would review the procedures with the staff. • We discussed that children must have materials accessible to them to meet the areas listed in rule. When shelves are turned around, the materials are considered inaccessible. You stated the afternoon person had turned the shelf at the end of the day, and you opened the shelf during the visit. I recommend speaking to the staff about making sure shelves remained open, so the materials are accessible. • We discussed that activity plans must be current and posted. One teacher was able to post her activity plan during the visit. You stated the activity plan for school-aged children was not on site during the visit and that you would have the teacher create a new one. • We discussed that prescription medications must be in the original packaging. You removed the tube of Nystatin and stated that you would have the parent bring the original packaging or send the medication home. • We discussed that health questionnaires, medical reports, and tuberculosis tests for employees must be maintained in a separate medical file. As you renew the health questionnaires annually, they need to remain in the employee’s medical file. I recommend doing a file audit and removing any of these documents from existing employees’ personnel files and adding them to their medical file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all of your new floaters get SIDS prior to working in the infant classroom. • Keep a check on the cardboard blocks in space 4B. They are beginning to show signs of wear. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Brandi Johnson review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/22/2024 Number Present: 102 Completed Date: 10/22/2024 Age: From 0 To 5 Total Minutes: 305 Time In: 08:45 AM Time Out: 01:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker and Turkessha Casterlow, Childcare Consultants, with Adaya Burden, Assistant Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/19/2024 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/13/2023. A sanitation inspection was completed 09/09/2024 with a superior classification. The last fire inspection was conducted 04/30/2024. Program records and required postings were monitored. A fire drill was conducted on 10/18/2024. A lockdown drill was documented on 08/15/2024. An outdoor inspection was documented on 10/01/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed some permission slips and some emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2025 and the insurance is valid through 03/01/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2025 and the insurance is valid through 03/01/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. During the visit, I did not observe a current activity plan in spaces TodA and SA. A current activity plan was posted in space TodA during the visit but the SA activity plan could not be located. GS 110-91(12); .0508(a) 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. During the visit, I observed some home living and block play materials in space TodB. I observed a shelf that was turned around and inaccessible to children with manipulative and music toys stored on the shelf. .0510 (e ) (1)(A-G) 705 Equipment and furnishings were not sturdy, stable and free of hazards. During the visit, I observed a large playground structure on the playground designated for preschool children that had exposed rust and cracking plastic on the steps. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. During the visit, I observed several broken pieces of plastic toys on the playground designated for school-age children. 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. During the visit, I observed a first aid kit on one bus used to transport children containing antiseptic wipes and body fluid powder, not in locked storage. I observed a bottle of hands sanitizer stored in a cup holder of a bus used to transport children. I observed a staff back pack that had perfume stored in the side pocket hanging on a door not in locked storage in space SA. .2820(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. During the visit, I observed one tube of Nystatin ointment not store in its original packaging. .0803(2)(a) 847 Parent's medication authorization did not include required information. During the visit, I observed a diaper cream form in space InfA and a diaper cream form in space TodA that did not include all the required information on the authorization form. I observed a Chapstick in space 3A that did not have a medication authorization form on file for review. 10A NCAC 09 .0803(4)(6-9) 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. During the visit, I observed bus binders that did not include emergency identifying information for all children documented on the bus log. 10A NCAC 09 .1003(d) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. During the visit, I observed a bus binder that did not include current permission to transport all children listed on the bus log. .1003(i)(j) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. During the visit, I observed a permission form for an epi-pen for an enrolled child that did not have a medical actin plan attached. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. During the visit, I observed two existing employee files that had health questionnaires and/or vaccine information stored in their personnel file and not in their separate medical file. .0701(d) 9995 A violation was found for which there is no item number. During the visit, I observed a teacher helping multiple children in space TodA wash hands upon entry from outdoor play. Proper handwashing procedures were not followed. The water was turned off by the teacher using her hands rather than a paper towel. This is a violation of 15A NCAC 18A .2803 HANDWASHING. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/05/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that all emergency medications must be accompanied by a medical action plan in addition to the medical authorization form. You stated you would reach out to the parent and have this completed. • We discussed ensuring that anything with multiple warning labels must be stored in locked storage. You removed all items from the bus and the classroom designated for school-age children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have emergency information in the binder. This is critical to ensure that you have contact information on each child being transported in case of an emergency. You stated you would update the bus binders immediately. • We discussed that rust must not be accessible to children. Rust can pose a potential harm to children. You stated you would let the administrative team know about the exposed rust on the playground structure. • We discussed doing a walkthrough of the outdoor environments prior to using them to ensure there are no hazards including broken toys. You removed all the broken plastic from the playground designated for school-aged children during the visit. • We discussed that you would need to update your bus binders to ensure that all children listed on your bus log have permission to transport forms in the binder. You stated you would update the bus binders immediately. • We discussed that medication authorization forms must be filled out completely as listed in rule including expiration dates of medication and amounts of medications to be used. This is important to ensure the staff are correctly administering medications and not administering expired medications. You stated you would review the medication authorizations for accuracy immediately. • We discussed that you would need to review the proper handwashing procedures with staff to ensure they are always following the correct handwashing steps. You can visit the Health and Safety Resource Center at this link for new posters if needed: https://healthychildcare.unc.edu/resources/posters/ You stated you would review the procedures with the staff. • We discussed that children must have materials accessible to them to meet the areas listed in rule. When shelves are turned around, the materials are considered inaccessible. You stated the afternoon person had turned the shelf at the end of the day, and you opened the shelf during the visit. I recommend speaking to the staff about making sure shelves remained open, so the materials are accessible. • We discussed that activity plans must be current and posted. One teacher was able to post her activity plan during the visit. You stated the activity plan for school-aged children was not on site during the visit and that you would have the teacher create a new one. • We discussed that prescription medications must be in the original packaging. You removed the tube of Nystatin and stated that you would have the parent bring the original packaging or send the medication home. • We discussed that health questionnaires, medical reports, and tuberculosis tests for employees must be maintained in a separate medical file. As you renew the health questionnaires annually, they need to remain in the employee’s medical file. I recommend doing a file audit and removing any of these documents from existing employees’ personnel files and adding them to their medical file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all of your new floaters get SIDS prior to working in the infant classroom. • Keep a check on the cardboard blocks in space 4B. They are beginning to show signs of wear. At the completion of the visit, this visit summary was reviewed with and provided to you. I left three copies of the visit summary first page and three copies of the completed staff and training worksheets with you during the visit. Please have Brandi Johnson review these documents as soon as possible. If she has any questions, please have her reach out to me. Once she has reviewed these documents, please have her sign all required lines and mail me the original staff and training worksheet, a copy of the staff and training worksheet, and two copies of the first page of the visit summary. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 4/30/2024 Number Present: 129 Completed Date: 4/30/2024 Age: From 0 To 5 Total Minutes: 160 Time In: 08:55 AM Time Out: 11:35 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Whitney Parker, Childcare Consultant, with Brandi Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The NC Secretary of State website was reviewed on 04/30/2024 and ACWLC, III INC. was listed as Active-Not Current. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. Two new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded 04/01/2024. A fire drill was recorded 04/23/2024. A lock down drill for the facility was recorded 02/20/2024. The most recent fire inspection was on 05/03/2023. I observed a sanitation inspection was last conducted on 08/07/2023 earning a superior classification. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school-age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed permission slips and emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2024 and the insurance is valid through 03/2025. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2024 and the insurance is valid through 03/2025. The following violation was cited during today’s visit: Violation Number Comment Rule 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed a container of Vaseline in space 3B that did not have a medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 05/14/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We discussed rule .0803(7)(a-g) and that all medications must be accompanied by a authorization form. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Johnson confirmed during today’s visit that the email was received and provided information that she completed the webinar and the survey on 04/25/2024 and is currently waiting on the results from the survey. • Make sure you have a fire inspection completed by 05/03/2024. Once you receive the inspection, please email me a copy of it. • We discussed rule 15A NCAC 18A.2804(d) and ensuring all infant bottles are labeled with the child’s name and date. • The NC Secretary of State website was reviewed on 04/30/2024 and ACWLC, III INC. was listed as Active-Not Current. You will need to update your corporation and the annual report as soon as possible. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 111 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 08:40 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Brandi Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/13/2023 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playgrounds for infants, toddlers, and preschool aged children, I observed two trash cans with busted lids exposing sharp plastic pieces. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, group time, and routine activities. I observed materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/01/2022. A sanitation inspection was completed 08/07/2023 with a superior classification. The last fire inspection was conducted 05/03/2023. Program records and required postings were monitored. A fire drill was conducted on 10/30/2023. A shelter in place drill was documented on 06/13/2023. A shelter in place or lockdown drill was not recorded in the month of September. An outdoor inspection was documented on 11/02/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items are stored in a locked storage closet. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed permission slips and emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2024 and the insurance is valid through 03/01/2024. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns observed indoors. On the playgrounds for infants, toddlers, and preschool aged children, I observed two trash cans with busted lids exposing sharp plastic pieces. 10A NCAC 09 .0601(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was documented on 06/13/2023. A shelter in place or lockdown drill was not recorded in the month of September. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: •Make sure to complete shelter-in-place or lock down drills every three months. We discussed pre-planning these to ensure they are completed on time. •Remove or replace all broken trash can lids from the playgrounds. Additional Information/Consultation: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Make sure to have your staff check the medications at the end of the month. There were a couple of medications that were expiring in 11/2023. •Make sure to review and update your EPR plan this month. When you complete this, print the first page of the EPR plan to reflect the new review date. •Make sure to remove any “interlocking” materials from all block centers. Interlocking materials, including large Lego blocks, are considered manipulatives rather than blocks. •Make sure all staff, including traveling floaters, have a sperate medical file. •CPR and First Aid must be taken in person. There are three employees who must take this course in person by December 2023. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: A CHILD'S WORLD LEARNING CENTER SOUTH Facility ID: 34000868 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 111 Completed Date: 11/13/2023 Age: From 0 To 5 Total Minutes: 335 Time In: 08:40 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant, with Brandi Johnson, Director. Your program currently operates with a five-star license effective 05/17/2021. Restrictions include daytime care, enhanced space, enhanced ratios, and children under 2 1/2 years old in rooms with direct exits only. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/13/2023 and ACWLC, III INC. was listed as current and active. The program’s compliance history was 86% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the playgrounds for infants, toddlers, and preschool aged children, I observed two trash cans with busted lids exposing sharp plastic pieces. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaging in free play, group time, and routine activities. I observed materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 12/01/2022. A sanitation inspection was completed 08/07/2023 with a superior classification. The last fire inspection was conducted 05/03/2023. Program records and required postings were monitored. A fire drill was conducted on 10/30/2023. A shelter in place drill was documented on 06/13/2023. A shelter in place or lockdown drill was not recorded in the month of September. An outdoor inspection was documented on 11/02/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Hazardous items are stored in a locked storage closet. Storage and administration of medication were monitored. Medication authorization was monitored. You stated that you do routine transportation during the school year for school-age children. You also stated you do transportation for field trips for the school age children during the summer months. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log that is used for both routine transportation and field trips. I observed permission slips and emergency information sheets for the school-aged children in the transportation binder. I monitored two vehicles today. I observed first aid kits and fire extinguishers on both vehicles. I observed a 2007 Chevrolet Express Minibus, YNA-1920. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 08/2024 and the insurance is valid through 03/01/2024. I observed a 2005 Chevrolet Express G35300 Minibus, JHN-6284. This vehicle was clean, in good repair, had working seatbelts, had adequate tire tread, and was current on inspection and insurance. Your next inspection date on this vehicle is due 11/2024 and the insurance is valid through 03/01/2024. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. There were no safety concerns observed indoors. On the playgrounds for infants, toddlers, and preschool aged children, I observed two trash cans with busted lids exposing sharp plastic pieces. 10A NCAC 09 .0601(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place drill was documented on 06/13/2023. A shelter in place or lockdown drill was not recorded in the month of September. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: •Make sure to complete shelter-in-place or lock down drills every three months. We discussed pre-planning these to ensure they are completed on time. •Remove or replace all broken trash can lids from the playgrounds. Additional Information/Consultation: •You must notify your consultant 30 days prior to changing the ownership status of your facility. •Make sure to have your staff check the medications at the end of the month. There were a couple of medications that were expiring in 11/2023. •Make sure to review and update your EPR plan this month. When you complete this, print the first page of the EPR plan to reflect the new review date. •Make sure to remove any “interlocking” materials from all block centers. Interlocking materials, including large Lego blocks, are considered manipulatives rather than blocks. •Make sure all staff, including traveling floaters, have a sperate medical file. •CPR and First Aid must be taken in person. There are three employees who must take this course in person by December 2023. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ 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