Caesar'S LIL Palace

10A NCAC 09 .0601 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 4/17/2026 Number Present: 24 Completed Date: 4/17/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Melinda Lescar, Child Care Consultant and Tracy Herron, Director. Your program currently operates with a Three-Star license effective August 1, 2019. Restrictions include first and second shift care, meets enhanced ratios, no frying allowed. The NC Secretary of State website was reviewed on April 16, 2026, and Caesar’s Lil Palace Inc. was listed as current and active. 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 in free play, group activities, and lunch. There were not any new staff reported at this program. No medications were observed nor reported. Storage hazardous items were monitored today. A playground inspection was recorded 3/2/2026. A fire drill was recorded 4/1/2026. A lock down drill for the facility was recorded on 3/2/2026. The most recent fire inspection was on 4/14/2025. I observed a sanitation inspection that was last conducted on 10/9/2025, earning a Superior classification. You stated that you do transportation in the morning and afternoon for ten (10) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicle today. I observed a 2007 GMC Van, tag number EK-2632. 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 12/31/2026. Insurance is valid through 7/23/2026. 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. On the infant/toddler playground there was plastic mulch bag under the ground cover that was exposed and accessible to the children. 10A NCAC 09 .0601(a) 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. One staff member did not have a current CPR/First-Aid certification in their file for review. .1102(c) 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. One provider's current qualifying letter was was not linked to the facility's roster. G.S. 110-90.2 & .2703(r) 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 May 1, 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 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: Item# 1805-One teacher’s current qualifying letter was not linked to the facility’s roster. It is important to review the facility’s roster regularly when new teachers are hired within five (5) and when teachers receive new qualifying letters to ensure that the facility’s roster is current and up to date. Item# 807- On the infant/toddler playground there was a plastic mulch bag under the ground that was exposed and accessible to the children. It is recommended to document on your monthly playground inspection the condition of all equipment and check daily for any signs of potential safety hazards before children go outside on the playground. Item#:1048-One staff member did not have a current CPR/First Aid certification in their file for review. Ms. Herron stated all staff completed the CPR/First-Aid training on the same date, but was unable to locate the staff members current CPR/First-Aid certification during today's visit. It is recommended to review staff files regularly to ensure all documentation is current and available for review. Additional Information/Consultation: During today's visit, Ms. Herron called the fire inspector and they are coming on April 21, 2026 to conduct their inspection. It is recommended to contact the fire inspector a month prior to the due date of the inspection to ensure your fire inspections are completed within the required timeline. The Pathway to the Stars conversation took place today with Ms. Herron. Ms. Caesar plans to contact me with any questions. Pathway 1: Program Assessment and the requirements were reviewed. The program is planning to reach out to Smart Start and to The Birth to Three Project for some technical assistance in preparing for the environmental rating scales. They plan to submit their rated license application in August. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, Child Care Consultant, (336) 987-0960, melinda.lescar@dhhs.gov or Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. 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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 4/17/2026 Number Present: 24 Completed Date: 4/17/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Melinda Lescar, Child Care Consultant and Tracy Herron, Director. Your program currently operates with a Three-Star license effective August 1, 2019. Restrictions include first and second shift care, meets enhanced ratios, no frying allowed. The NC Secretary of State website was reviewed on April 16, 2026, and Caesar’s Lil Palace Inc. was listed as current and active. 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 in free play, group activities, and lunch. There were not any new staff reported at this program. No medications were observed nor reported. Storage hazardous items were monitored today. A playground inspection was recorded 3/2/2026. A fire drill was recorded 4/1/2026. A lock down drill for the facility was recorded on 3/2/2026. The most recent fire inspection was on 4/14/2025. I observed a sanitation inspection that was last conducted on 10/9/2025, earning a Superior classification. You stated that you do transportation in the morning and afternoon for ten (10) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicle today. I observed a 2007 GMC Van, tag number EK-2632. 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 12/31/2026. Insurance is valid through 7/23/2026. 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. On the infant/toddler playground there was plastic mulch bag under the ground cover that was exposed and accessible to the children. 10A NCAC 09 .0601(a) 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. One staff member did not have a current CPR/First-Aid certification in their file for review. .1102(c) 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. One provider's current qualifying letter was was not linked to the facility's roster. G.S. 110-90.2 & .2703(r) 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 May 1, 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 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: Item# 1805-One teacher’s current qualifying letter was not linked to the facility’s roster. It is important to review the facility’s roster regularly when new teachers are hired within five (5) and when teachers receive new qualifying letters to ensure that the facility’s roster is current and up to date. Item# 807- On the infant/toddler playground there was a plastic mulch bag under the ground that was exposed and accessible to the children. It is recommended to document on your monthly playground inspection the condition of all equipment and check daily for any signs of potential safety hazards before children go outside on the playground. Item#:1048-One staff member did not have a current CPR/First Aid certification in their file for review. Ms. Herron stated all staff completed the CPR/First-Aid training on the same date, but was unable to locate the staff members current CPR/First-Aid certification during today's visit. It is recommended to review staff files regularly to ensure all documentation is current and available for review. Additional Information/Consultation: During today's visit, Ms. Herron called the fire inspector and they are coming on April 21, 2026 to conduct their inspection. It is recommended to contact the fire inspector a month prior to the due date of the inspection to ensure your fire inspections are completed within the required timeline. The Pathway to the Stars conversation took place today with Ms. Herron. Ms. Caesar plans to contact me with any questions. Pathway 1: Program Assessment and the requirements were reviewed. The program is planning to reach out to Smart Start and to The Birth to Three Project for some technical assistance in preparing for the environmental rating scales. They plan to submit their rated license application in August. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, Child Care Consultant, (336) 987-0960, melinda.lescar@dhhs.gov or Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. 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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 4/17/2026 Number Present: 24 Completed Date: 4/17/2026 Age: From 0 To 5 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Melinda Lescar, Child Care Consultant and Tracy Herron, Director. Your program currently operates with a Three-Star license effective August 1, 2019. Restrictions include first and second shift care, meets enhanced ratios, no frying allowed. The NC Secretary of State website was reviewed on April 16, 2026, and Caesar’s Lil Palace Inc. was listed as current and active. 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 in free play, group activities, and lunch. There were not any new staff reported at this program. No medications were observed nor reported. Storage hazardous items were monitored today. A playground inspection was recorded 3/2/2026. A fire drill was recorded 4/1/2026. A lock down drill for the facility was recorded on 3/2/2026. The most recent fire inspection was on 4/14/2025. I observed a sanitation inspection that was last conducted on 10/9/2025, earning a Superior classification. You stated that you do transportation in the morning and afternoon for ten (10) children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one (1) vehicle today. I observed a 2007 GMC Van, tag number EK-2632. 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 12/31/2026. Insurance is valid through 7/23/2026. 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. On the infant/toddler playground there was plastic mulch bag under the ground cover that was exposed and accessible to the children. 10A NCAC 09 .0601(a) 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. One staff member did not have a current CPR/First-Aid certification in their file for review. .1102(c) 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. One provider's current qualifying letter was was not linked to the facility's roster. G.S. 110-90.2 & .2703(r) 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 May 1, 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27114 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: Item# 1805-One teacher’s current qualifying letter was not linked to the facility’s roster. It is important to review the facility’s roster regularly when new teachers are hired within five (5) and when teachers receive new qualifying letters to ensure that the facility’s roster is current and up to date. Item# 807- On the infant/toddler playground there was a plastic mulch bag under the ground that was exposed and accessible to the children. It is recommended to document on your monthly playground inspection the condition of all equipment and check daily for any signs of potential safety hazards before children go outside on the playground. Item#:1048-One staff member did not have a current CPR/First Aid certification in their file for review. Ms. Herron stated all staff completed the CPR/First-Aid training on the same date, but was unable to locate the staff members current CPR/First-Aid certification during today's visit. It is recommended to review staff files regularly to ensure all documentation is current and available for review. Additional Information/Consultation: During today's visit, Ms. Herron called the fire inspector and they are coming on April 21, 2026 to conduct their inspection. It is recommended to contact the fire inspector a month prior to the due date of the inspection to ensure your fire inspections are completed within the required timeline. The Pathway to the Stars conversation took place today with Ms. Herron. Ms. Caesar plans to contact me with any questions. Pathway 1: Program Assessment and the requirements were reviewed. The program is planning to reach out to Smart Start and to The Birth to Three Project for some technical assistance in preparing for the environmental rating scales. They plan to submit their rated license application in August. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, Child Care Consultant, (336) 987-0960, melinda.lescar@dhhs.gov or Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. 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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: MELINDA LESCAR Operation Type: Center Case Number: 1125-246L Visit Date: 12/8/2025 Number Present: 11 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Tracy Herron, administrator. The allegations are as follows: There are concerns regarding sanitation and unsafe environment. 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. Your program currently operates with a three-star license effective August 1, 2019. Restrictions include 1st and 2nd shift, enhanced ratios and no frying allowed. The NC Secretary of State website was reviewed on 12/07/2025 and Caesar’s Lil Palace, 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 • Adequate / Approved Space • License Posted • Permit Restrictions There is a concern regarding sanitation. During today’s visit, we conducted a walk throughout the facility, including the classrooms, kitchen and bathrooms. There were no concerns observed regarding sanitation. The bathrooms were clean, and there was soap and paper towels in the bathroom. There were no observed concerns regarding the cleanliness of the floors throughout the facility. Ms. Herron stated she had not received any concerns from parents regarding the cleanliness of the facility. Based on the observations, the finding regarding the allegation of concerns related to sanitation was unsubstantiated. There is a concern regarding unsafe environment. Based on information obtained during staff interviews, on September 26, 2025, in space 2, a parent and staff member had a confrontation in front of children ages three to five years of age and profanity was used. Ms. Herron recalled a situation that occurred between a staff member and parent in space 2. Ms. Pauling stated both the parent and staff member exchanged words of profanity in front of the children. Ms. Herron intervened to control the situation and asked the parent to leave the premises. We interviewed the two staff members present on the date of the alleged incident and they confirmed there was inappropriate interaction between a staff member and parent. Based on the interviews with administration and two staff members, the finding regarding the allegation of concerns related to unsafe environment sanitation was unsubstantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 26, 2025, in space 2, a parent and staff member had a confrontation in front of children ages three to five years of age and profanity was used with children present. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston-Salem, NC 27114 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: Early Childhood environments are professional settings in which staff are expected to maintain a respectful and kind vocabulary. Profanity is not an acceptable form of expression in front of children either parents or staff. Staff should use methods in which to deescalate conversations between parents and staff that could result in inappropriate conversations occurring in front of young children. You may consider discussing the following with staff when situations occur with parents/other staff members, etc. Staying calm and composed, practicing deep breaths; using a low, calm voice; and maintaining relaxed body language to de-escalate tension. Listen actively letting parents fully express their concerns without interruption and avoid defensiveness. Acknowledge their feelings ("I understand why you'd be upset") without admitting fault, showing you care. Focusing on the child and framing the conversation around the shared goal of helping the child succeed, reminding everyone you're on the same team. Set Boundaries, when conversations between parents or parents become upset in front of children. You may ask the parent to go into the office to discuss privately or schedule another time to discuss concerns. Ms. Herron and the owner have already discussed policies and procedures moving forward if this were to occur again, which will be shared with both parents and staff. Additional Information/Consultation • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. Melinda Lescar, Child Care Consultant (336) 987-0960 Melinda.lescar@dhhs.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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: MELINDA LESCAR Operation Type: Center Case Number: 1125-246L Visit Date: 12/8/2025 Number Present: 11 Completed Date: 12/8/2025 Age: From 0 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. This visit was conducted with Tracy Herron, administrator. The allegations are as follows: There are concerns regarding sanitation and unsafe environment. 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. Your program currently operates with a three-star license effective August 1, 2019. Restrictions include 1st and 2nd shift, enhanced ratios and no frying allowed. The NC Secretary of State website was reviewed on 12/07/2025 and Caesar’s Lil Palace, 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 • Adequate / Approved Space • License Posted • Permit Restrictions There is a concern regarding sanitation. During today’s visit, we conducted a walk throughout the facility, including the classrooms, kitchen and bathrooms. There were no concerns observed regarding sanitation. The bathrooms were clean, and there was soap and paper towels in the bathroom. There were no observed concerns regarding the cleanliness of the floors throughout the facility. Ms. Herron stated she had not received any concerns from parents regarding the cleanliness of the facility. Based on the observations, the finding regarding the allegation of concerns related to sanitation was unsubstantiated. There is a concern regarding unsafe environment. Based on information obtained during staff interviews, on September 26, 2025, in space 2, a parent and staff member had a confrontation in front of children ages three to five years of age and profanity was used. Ms. Herron recalled a situation that occurred between a staff member and parent in space 2. Ms. Pauling stated both the parent and staff member exchanged words of profanity in front of the children. Ms. Herron intervened to control the situation and asked the parent to leave the premises. We interviewed the two staff members present on the date of the alleged incident and they confirmed there was inappropriate interaction between a staff member and parent. Based on the interviews with administration and two staff members, the finding regarding the allegation of concerns related to unsafe environment sanitation was unsubstantiated. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On September 26, 2025, in space 2, a parent and staff member had a confrontation in front of children ages three to five years of age and profanity was used with children present. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 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 melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston-Salem, NC 27114 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: Early Childhood environments are professional settings in which staff are expected to maintain a respectful and kind vocabulary. Profanity is not an acceptable form of expression in front of children either parents or staff. Staff should use methods in which to deescalate conversations between parents and staff that could result in inappropriate conversations occurring in front of young children. You may consider discussing the following with staff when situations occur with parents/other staff members, etc. Staying calm and composed, practicing deep breaths; using a low, calm voice; and maintaining relaxed body language to de-escalate tension. Listen actively letting parents fully express their concerns without interruption and avoid defensiveness. Acknowledge their feelings ("I understand why you'd be upset") without admitting fault, showing you care. Focusing on the child and framing the conversation around the shared goal of helping the child succeed, reminding everyone you're on the same team. Set Boundaries, when conversations between parents or parents become upset in front of children. You may ask the parent to go into the office to discuss privately or schedule another time to discuss concerns. Ms. Herron and the owner have already discussed policies and procedures moving forward if this were to occur again, which will be shared with both parents and staff. Additional Information/Consultation • You must notify your consultant 30 days prior to changing the ownership status of your facility. 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. Melinda Lescar, Child Care Consultant (336) 987-0960 Melinda.lescar@dhhs.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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 12 Completed Date: 10/27/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:00 AM Time Out: 01:35 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 Tracy Herron, Assistant Director. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/10/2025 and Caesar's Lil Palace, Inc was listed as active-not current. The NC Secretary of State website was reviewed again on 10/14/2025 and the facility had been listed as administratively dissolved. Ms. Caesar was contacted, and she stated that the paperwork had already been completed, and the filings were listed on the website. The filings were listed at that time. The NC Secretary of State website was viewed again on 10/23/2025 and the facility was still listed as administratively dissolved with no current filings listed. Ms. Caesar was contacted again, and she stated that one of the documents was filled out incorrectly and that she had resubmitted the filing. Ms. Caesar is aware of the situation and is working with the NC Secretary of the State to get the facility back current and active. The program’s compliance history was 92% 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. The last annual compliance visit was conducted on 11/12/2024. A sanitation inspection was completed 10/09/2025 with a superior classification. The last fire inspection was conducted 04/16/2025. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 10/02/2025. A shelter in place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/01/2025. 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 in the mornings and afternoons for school-age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kit and fire extinguisher on the vehicle. I monitored one (1) vehicle today. I observed a 2020 Dodge ram 1500 van, EK-2632. 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 10/2025 and the insurance is valid through 12/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. During the visit, I observed one (1) inhaler not in the original container. .0803(2)(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. During the visit, I observed plastic landscaping material on the playground designated for infants and toddlers. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. During the visit, I observed one (1) staff file that did not have any on-going training hours documented. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. During the visit, I observed two (2) child files that did not have medical reports on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. During the visit, I observed that one (1) employee did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 observed the ABCMS Provider Portal not in use. 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) inhaler that had an expired medication permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 one (1) staff file that did not have a current health questionnaire on file. .0701(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 11/10/2025. 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 all employees must have a background check completed every five years. You stated C. Cauthen had completed the background check process and did not realize she had expired. I recommend that Ms. Cauthen reach out to the CBC Unit at (919) 814-6401 and inquire about what went wrong with her background check. Ms. Cauthen will need to update her background check immediately. Ms. Cauthen started the process during the visit on the ABCMS portal. You will need to send me a copy of the current qualifying letter for C. Cauthen within fifteen (15) days. • We discussed that all staff must have a certain number of training hours annually depending on the employee’s education level and years of experience. Ms. Gillis will need ten (10) training hours within fourteen (14) days. • We discussed that all employees must update the health questionnaire annually. You had the employee update the health questionnaire during the visit. • We discussed that all children must have a medical report on file within thirty (30) days of enrollment. One parent was able to send you the medical report during the visit. One other child is missing the medical report. You are currently waiting on this to be sent from the doctor. • We discussed that the plastic landscaping material needs to be covered on the playground designated for infants and toddlers. Plastic cannot be accessible to children under three (3) years of age. You removed the plastic during the visit. • We discussed that all medications must have a current authorization form on file. You stated you the parents had just updated the paperwork but must have not completed the permission form. You contacted the parents during the visit to update the form. • We discussed that all prescription medication must be in the original packaging. You contacted the parent during the visit to let the parent know you will need the box for the inhaler. • During the visit, we discussed that the ABCMS provider portal was not in use. Ms. Hauser emailed you in April and September with the following consultation: 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 childcare providers working who were hired or moved into the childcare 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. 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, Ms. Hauser or Ms. Lescar 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. Ms. Herron stated she would need to talk to Ms. Caesar prior to making a final decision on which pathway they would choose and when they would apply. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed that the measurements for spaces 1A and 1B were missing from the file. We also discussed that spaces 3A and 3B are one (1) space and not being used as two (2) spaces. Measurements of spaces 1A, 1B, and 3 were taken during the visit. I will use these measurements to create the space calculation worksheet and floor plan to determine the number of children that can be in each space. This information will be emailed to you later. • Keep a check on the boxes in space two (2). They are beginning to show signs of wear and tear. • 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. This can be completed at this link: https://dcdee.works.nc.gov/ • Make sure you log into the EPR portal annually and review your emergency preparedness and response plan. Once you review the plan and make any necessary changes, you will print the first page of the plan to reflect the date you reviewed the plan. • Keep a check on the back tires on your vehicle. They are beginning to show signs of worn tread. 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

GS110-91 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 12 Completed Date: 10/27/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:00 AM Time Out: 01:35 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 Tracy Herron, Assistant Director. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/10/2025 and Caesar's Lil Palace, Inc was listed as active-not current. The NC Secretary of State website was reviewed again on 10/14/2025 and the facility had been listed as administratively dissolved. Ms. Caesar was contacted, and she stated that the paperwork had already been completed, and the filings were listed on the website. The filings were listed at that time. The NC Secretary of State website was viewed again on 10/23/2025 and the facility was still listed as administratively dissolved with no current filings listed. Ms. Caesar was contacted again, and she stated that one of the documents was filled out incorrectly and that she had resubmitted the filing. Ms. Caesar is aware of the situation and is working with the NC Secretary of the State to get the facility back current and active. The program’s compliance history was 92% 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. The last annual compliance visit was conducted on 11/12/2024. A sanitation inspection was completed 10/09/2025 with a superior classification. The last fire inspection was conducted 04/16/2025. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 10/02/2025. A shelter in place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/01/2025. 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 in the mornings and afternoons for school-age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kit and fire extinguisher on the vehicle. I monitored one (1) vehicle today. I observed a 2020 Dodge ram 1500 van, EK-2632. 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 10/2025 and the insurance is valid through 12/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. During the visit, I observed one (1) inhaler not in the original container. .0803(2)(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. During the visit, I observed plastic landscaping material on the playground designated for infants and toddlers. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. During the visit, I observed one (1) staff file that did not have any on-going training hours documented. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. During the visit, I observed two (2) child files that did not have medical reports on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. During the visit, I observed that one (1) employee did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 observed the ABCMS Provider Portal not in use. 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) inhaler that had an expired medication permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 one (1) staff file that did not have a current health questionnaire on file. .0701(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 11/10/2025. 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 all employees must have a background check completed every five years. You stated C. Cauthen had completed the background check process and did not realize she had expired. I recommend that Ms. Cauthen reach out to the CBC Unit at (919) 814-6401 and inquire about what went wrong with her background check. Ms. Cauthen will need to update her background check immediately. Ms. Cauthen started the process during the visit on the ABCMS portal. You will need to send me a copy of the current qualifying letter for C. Cauthen within fifteen (15) days. • We discussed that all staff must have a certain number of training hours annually depending on the employee’s education level and years of experience. Ms. Gillis will need ten (10) training hours within fourteen (14) days. • We discussed that all employees must update the health questionnaire annually. You had the employee update the health questionnaire during the visit. • We discussed that all children must have a medical report on file within thirty (30) days of enrollment. One parent was able to send you the medical report during the visit. One other child is missing the medical report. You are currently waiting on this to be sent from the doctor. • We discussed that the plastic landscaping material needs to be covered on the playground designated for infants and toddlers. Plastic cannot be accessible to children under three (3) years of age. You removed the plastic during the visit. • We discussed that all medications must have a current authorization form on file. You stated you the parents had just updated the paperwork but must have not completed the permission form. You contacted the parents during the visit to update the form. • We discussed that all prescription medication must be in the original packaging. You contacted the parent during the visit to let the parent know you will need the box for the inhaler. • During the visit, we discussed that the ABCMS provider portal was not in use. Ms. Hauser emailed you in April and September with the following consultation: 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 childcare providers working who were hired or moved into the childcare 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. 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, Ms. Hauser or Ms. Lescar 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. Ms. Herron stated she would need to talk to Ms. Caesar prior to making a final decision on which pathway they would choose and when they would apply. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed that the measurements for spaces 1A and 1B were missing from the file. We also discussed that spaces 3A and 3B are one (1) space and not being used as two (2) spaces. Measurements of spaces 1A, 1B, and 3 were taken during the visit. I will use these measurements to create the space calculation worksheet and floor plan to determine the number of children that can be in each space. This information will be emailed to you later. • Keep a check on the boxes in space two (2). They are beginning to show signs of wear and tear. • 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. This can be completed at this link: https://dcdee.works.nc.gov/ • Make sure you log into the EPR portal annually and review your emergency preparedness and response plan. Once you review the plan and make any necessary changes, you will print the first page of the plan to reflect the date you reviewed the plan. • Keep a check on the back tires on your vehicle. They are beginning to show signs of worn tread. 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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 10/27/2025 Number Present: 12 Completed Date: 10/27/2025 Age: From 0 To 5 Total Minutes: 275 Time In: 09:00 AM Time Out: 01:35 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 Tracy Herron, Assistant Director. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 09/10/2025 and Caesar's Lil Palace, Inc was listed as active-not current. The NC Secretary of State website was reviewed again on 10/14/2025 and the facility had been listed as administratively dissolved. Ms. Caesar was contacted, and she stated that the paperwork had already been completed, and the filings were listed on the website. The filings were listed at that time. The NC Secretary of State website was viewed again on 10/23/2025 and the facility was still listed as administratively dissolved with no current filings listed. Ms. Caesar was contacted again, and she stated that one of the documents was filled out incorrectly and that she had resubmitted the filing. Ms. Caesar is aware of the situation and is working with the NC Secretary of the State to get the facility back current and active. The program’s compliance history was 92% 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. The last annual compliance visit was conducted on 11/12/2024. A sanitation inspection was completed 10/09/2025 with a superior classification. The last fire inspection was conducted 04/16/2025. A copy of this inspection was received during the visit. Program records and required postings were monitored. A fire drill was conducted on 10/02/2025. A shelter in place drill was documented on 10/02/2025. An outdoor inspection was documented on 10/01/2025. 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 in the mornings and afternoons for school-age children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kit and fire extinguisher on the vehicle. I monitored one (1) vehicle today. I observed a 2020 Dodge ram 1500 van, EK-2632. 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 10/2025 and the insurance is valid through 12/2025. The following violations were cited during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. During the visit, I observed one (1) inhaler not in the original container. .0803(2)(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. During the visit, I observed plastic landscaping material on the playground designated for infants and toddlers. .0604(q) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. During the visit, I observed one (1) staff file that did not have any on-going training hours documented. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. During the visit, I observed two (2) child files that did not have medical reports on file. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. During the visit, I observed that one (1) employee did not have a current qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 observed the ABCMS Provider Portal not in use. 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) inhaler that had an expired medication permission form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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 one (1) staff file that did not have a current health questionnaire on file. .0701(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 11/10/2025. 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 all employees must have a background check completed every five years. You stated C. Cauthen had completed the background check process and did not realize she had expired. I recommend that Ms. Cauthen reach out to the CBC Unit at (919) 814-6401 and inquire about what went wrong with her background check. Ms. Cauthen will need to update her background check immediately. Ms. Cauthen started the process during the visit on the ABCMS portal. You will need to send me a copy of the current qualifying letter for C. Cauthen within fifteen (15) days. • We discussed that all staff must have a certain number of training hours annually depending on the employee’s education level and years of experience. Ms. Gillis will need ten (10) training hours within fourteen (14) days. • We discussed that all employees must update the health questionnaire annually. You had the employee update the health questionnaire during the visit. • We discussed that all children must have a medical report on file within thirty (30) days of enrollment. One parent was able to send you the medical report during the visit. One other child is missing the medical report. You are currently waiting on this to be sent from the doctor. • We discussed that the plastic landscaping material needs to be covered on the playground designated for infants and toddlers. Plastic cannot be accessible to children under three (3) years of age. You removed the plastic during the visit. • We discussed that all medications must have a current authorization form on file. You stated you the parents had just updated the paperwork but must have not completed the permission form. You contacted the parents during the visit to update the form. • We discussed that all prescription medication must be in the original packaging. You contacted the parent during the visit to let the parent know you will need the box for the inhaler. • During the visit, we discussed that the ABCMS provider portal was not in use. Ms. Hauser emailed you in April and September with the following consultation: 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 childcare providers working who were hired or moved into the childcare 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. 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, Ms. Hauser or Ms. Lescar 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. Ms. Herron stated she would need to talk to Ms. Caesar prior to making a final decision on which pathway they would choose and when they would apply. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • During the visit, we discussed that the measurements for spaces 1A and 1B were missing from the file. We also discussed that spaces 3A and 3B are one (1) space and not being used as two (2) spaces. Measurements of spaces 1A, 1B, and 3 were taken during the visit. I will use these measurements to create the space calculation worksheet and floor plan to determine the number of children that can be in each space. This information will be emailed to you later. • Keep a check on the boxes in space two (2). They are beginning to show signs of wear and tear. • 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. This can be completed at this link: https://dcdee.works.nc.gov/ • Make sure you log into the EPR portal annually and review your emergency preparedness and response plan. Once you review the plan and make any necessary changes, you will print the first page of the plan to reflect the date you reviewed the plan. • Keep a check on the back tires on your vehicle. They are beginning to show signs of worn tread. 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 .0901 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 20 Completed Date: 11/12/2024 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 Jennifer Davis and Turkessha Casterlow, childcare consultants with Tracy Herron, assistant administrator. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/11/2024 and Caesar’s Lil Palace, 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. 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 in free play, in group activities, and routine care. I observed materials and activities that were available to the children in the classrooms. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/21/2023. A sanitation inspection was completed 5/29/2024 with a Superior classification. The last fire inspection was conducted 2/28/2024. Program records and required postings were monitored. A fire drill was conducted on 11/4/2024. A shelter in place drill was documented on 10/1/2024. An outdoor inspection was documented on 11/1/2024. 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. Hazardous items were stored in a locked closet. No medications were observed nor reported. You stated that you do provide transportation in the mornings and afternoons to and from Forsyth Academy for eleven (11)children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. Insurance and inspections were current. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The breakfast served was not updated on the menu prior to the meal served. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. On the preschool playground, there were two pieces of vinyl fending that were damaged that need repair. There was a yellow school bus with chipping paint and two merry-go-cycles with chipping paint. In Space 3, there was a cracked piece of plexiglass in the science center. This was removed during the visit. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the space for children ages one and two years, the following items were accessible: small stickers, foam stars, small eyes, cotton balls, and a zip up plastic bag. On the playground for children under three years, there was one plastic bag. This was removed during the visit. .0604(q) 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. For children routinely transported, ten(10) children did not have the permission form filled out with when and where the child was to be transported and expected time of departure and arrival. .1003(i)(j) 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 11/25/2024. 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 jennifer.davis@dhhs.nc.gov or mail two copies of the letter to: 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: •Small pieces(foam, stickers, google eyes) that are choking hazards should not in the space for children. This was corrected during the visit. • Any meal changes should be updated on the menu prior to the child being served. • • Additional Information/Consultant: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Staff will need to complete required annual in-service training hours by 11/21/2024. If the training is not completed by this time an additional violation will be added to this visit. •The Recognizing and Responding to Child Maltreatment training can be accessed at www.preventchildabuse.nc.org https://childcareresourcecenter.org/events/category/training/ 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. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.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. 110-91 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 20 Completed Date: 11/12/2024 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 Jennifer Davis and Turkessha Casterlow, childcare consultants with Tracy Herron, assistant administrator. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/11/2024 and Caesar’s Lil Palace, 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. 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 in free play, in group activities, and routine care. I observed materials and activities that were available to the children in the classrooms. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/21/2023. A sanitation inspection was completed 5/29/2024 with a Superior classification. The last fire inspection was conducted 2/28/2024. Program records and required postings were monitored. A fire drill was conducted on 11/4/2024. A shelter in place drill was documented on 10/1/2024. An outdoor inspection was documented on 11/1/2024. 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. Hazardous items were stored in a locked closet. No medications were observed nor reported. You stated that you do provide transportation in the mornings and afternoons to and from Forsyth Academy for eleven (11)children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. Insurance and inspections were current. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The breakfast served was not updated on the menu prior to the meal served. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. On the preschool playground, there were two pieces of vinyl fending that were damaged that need repair. There was a yellow school bus with chipping paint and two merry-go-cycles with chipping paint. In Space 3, there was a cracked piece of plexiglass in the science center. This was removed during the visit. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the space for children ages one and two years, the following items were accessible: small stickers, foam stars, small eyes, cotton balls, and a zip up plastic bag. On the playground for children under three years, there was one plastic bag. This was removed during the visit. .0604(q) 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. For children routinely transported, ten(10) children did not have the permission form filled out with when and where the child was to be transported and expected time of departure and arrival. .1003(i)(j) 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 11/25/2024. 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 jennifer.davis@dhhs.nc.gov or mail two copies of the letter to: 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: •Small pieces(foam, stickers, google eyes) that are choking hazards should not in the space for children. This was corrected during the visit. • Any meal changes should be updated on the menu prior to the child being served. • • Additional Information/Consultant: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Staff will need to complete required annual in-service training hours by 11/21/2024. If the training is not completed by this time an additional violation will be added to this visit. •The Recognizing and Responding to Child Maltreatment training can be accessed at www.preventchildabuse.nc.org https://childcareresourcecenter.org/events/category/training/ 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. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 20 Completed Date: 11/12/2024 Age: From 0 To 4 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 Jennifer Davis and Turkessha Casterlow, childcare consultants with Tracy Herron, assistant administrator. Your program currently operates with a Three Star license. Restrictions include first and second shift care, meets enhanced ratios, and no frying allowed. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 11/11/2024 and Caesar’s Lil Palace, 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. 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 in free play, in group activities, and routine care. I observed materials and activities that were available to the children in the classrooms. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 11/21/2023. A sanitation inspection was completed 5/29/2024 with a Superior classification. The last fire inspection was conducted 2/28/2024. Program records and required postings were monitored. A fire drill was conducted on 11/4/2024. A shelter in place drill was documented on 10/1/2024. An outdoor inspection was documented on 11/1/2024. 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. Hazardous items were stored in a locked closet. No medications were observed nor reported. You stated that you do provide transportation in the mornings and afternoons to and from Forsyth Academy for eleven (11)children. During today’s visit, I monitored emergency information, permission to transport forms for all children being transported, and the bus log. I observed first aid kits and fire extinguishers on the vehicle. I monitored one vehicle today. Insurance and inspections were current. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The breakfast served was not updated on the menu prior to the meal served. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. On the preschool playground, there were two pieces of vinyl fending that were damaged that need repair. There was a yellow school bus with chipping paint and two merry-go-cycles with chipping paint. In Space 3, there was a cracked piece of plexiglass in the science center. This was removed during the visit. G.S. 110-91(6); .0601(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In the space for children ages one and two years, the following items were accessible: small stickers, foam stars, small eyes, cotton balls, and a zip up plastic bag. On the playground for children under three years, there was one plastic bag. This was removed during the visit. .0604(q) 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. For children routinely transported, ten(10) children did not have the permission form filled out with when and where the child was to be transported and expected time of departure and arrival. .1003(i)(j) 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 11/25/2024. 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 jennifer.davis@dhhs.nc.gov or mail two copies of the letter to: 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: •Small pieces(foam, stickers, google eyes) that are choking hazards should not in the space for children. This was corrected during the visit. • Any meal changes should be updated on the menu prior to the child being served. • • Additional Information/Consultant: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Staff will need to complete required annual in-service training hours by 11/21/2024. If the training is not completed by this time an additional violation will be added to this visit. •The Recognizing and Responding to Child Maltreatment training can be accessed at www.preventchildabuse.nc.org https://childcareresourcecenter.org/events/category/training/ 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. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.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: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0515 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1104 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1706 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1102 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CAESAR'S LIL PALACE Facility ID: 34000974 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/21/2023 Number Present: 21 Completed Date: 11/21/2023 Age: From 0 To 4 Total Minutes: 495 Time In: 09:00 AM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Quiencetta Wright, Lead Teacher, assisted me with the visit. Tracy Herron, Director, was not present during the visit. Your program currently operates with a three-star license, issued August 1, 2019, earning 4 points in the education component, 2 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months (only applicable if the program has earned 4 point or higher in education). The sanitation inspection was completed 8/08/2023 with a “Superior” classification. A fire inspection was completed on 2/17/2023, and the facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 89% as of November 15, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Four classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. Supervision was adequate during the visit. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard; these items were removed from the classroom during the visit. A Safe Sleep Policy was not posted; this was corrected during the visit. The facility has two playgrounds; one is used by infants and toddlers and the other is used by children who are preschool and School Age. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. I observed positive interactions between staff and children. In Spaces 2 and 3, a current activity plan was not posted for the month of November. An allergy list was posted in each classroom and in the kitchen. In Space 2, a bottle of sweet tea belonging to a staff member was observed on a shelf. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Storage of hazardous items was monitored. A bottle of Windex labeled Keep Out of Reach of Children with additional warnings was observed on a shelf greater than five feet from the ground, but in unlocked storage in Space 3. This was corrected during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored and found to be in compliance. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. The program currently transports enrolled children of School Age using one van. All transportation requirements were monitored. The vehicle insurance was observed to be current through 6/23/24. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. A valid driver’s license was not observed on file for the van driver. A staff training worksheet was submitted during the visit; the file for one existing staff member was monitored. The most recent Professional Development Plan on file was dated 1/06/2022. The most recent staff evaluation on file was dated 1/04/2021. The certification for CPR for this staff member expired on 1/15/2023. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. Children’s Records forms were completed during the visit. The files for five children enrolled were monitored. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. A signed and dated acknowledgement of the Summary of NC Child Care Law was not observed on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 10/02/2023. A lockdown drill and shelter in place drill was completed on 10/03/2023. A playground inspection was completed on 11/01/2023. The EPR plan was last updated on 1/23/2017. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. The following violations were cited during today's visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. . Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. 10A NCAC 09 .0601(a) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A Safe Sleep Policy was not posted. .0606(b) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. .1102(d) 1053 On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. GS 110-91(11); 10A NCAC 09.1102(b)(1-11) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. .1002(b) 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. .1003(i)(j) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. 10A NCAC 09 .0515(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022. 10A NCAC 09 .0514(f) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. .0901(i) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. .0607(d)(10) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/05/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance 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 cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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. A Legal Designee was not present onsite to review/sign the visit. I emailed an unsigned copy of the visit to the director and operator following the visit. I requested the administrator contact me to schedule a time to review this visit together, prior to signing the summary. I will schedule a time with the administrator to pick up any signed documents related to the visit summary next week. Technical Assistance Provided During Visit: • 10A NCAC 09 .0302(d)(4) Arrival and Departure Five children enrolled in Space 1 A/B were not signed in upon arrival. Four children were not signed in or out (one child left sick) in Space 3. I recommend separate arrival/departure sheets be maintained in each classroom, as opposed to one collective roster maintained. • GS 110-91(12); .0508(a) Activity Plans A current activity plan was not posted for each group of children for reference. In Spaces 2 and 3, a current activity plan was not posted for the month of November. I recommend setting an email or calendar reminder prior to activity plans being due each month as a reminder to post current plans. • .0510(d)(1) Sufficient Quantity of Materials In Space 2, there was not a sufficient amount of blocks or blocks accessories for at least three children to use the area, regardless of whether the children choose the same or different activities. I recommend having a rotating supply of developmentally appropriate materials for each center available in each classroom. • 10A NCAC 09 .0601(a) Safe Environment On the playground used by infants and toddlers, one metal screw sharp to the touch was observed on the ground near the fencing closest to the preschool/School Age playground fence. Plastic weedblock was observed surfacing from the fencing nearest the parking lot, presenting a potential choking hazard. Paint was observed flaking off the doorway of the outer entrance to Space 1 A/B, and small paint chips were observed on the ground. On the playground designated for preschool and School Age children, along the ramp leading from the building to the playground, one screw was observed protruding from the base of the ramp and was sharp to the touch. A partially torn, heavily mildewed basketball net was observed attached to a small basketball hoop/goal. In Space 1 A/B, a plastic bag filled with diapers was observed hanging less than five feet from the ground and accessible to children. Foam activities and puzzles, as well as stuffed animals with small, plastic eyes, were also observed in this space, accessible to children under three years old, presenting a potential choking hazard. I recommend conducting a walkthrough of the indoor and outdoor environments daily prior to use by children. • .1102(d) CPR All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The certification for CPR for an existing staff member expired on 1/15/2023. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • GS 110-91(11); 10A NCAC 09.1102(b)(1-11) Health and Safety Training On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. Health and Safety training topic number 2 (Administration of Medication, with Standards for Parental Consent) was not observed on file for this staff member. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .1002(b) Vehicle Registration and Inspection Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The inspection for this vehicle expired on 10/31/2023. A vehicle inspection was completed during the visit. The registration for this vehicle expired on 10/31/2023. I recommend keeping a calendar with all yearly due dates for recurring inspections. • .1003(i)(j) Transportation Authorization 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. The transportation authorization forms for six children being transported did not include when and where the child is transported and the expected time of arrival and departure for each child. I recommend all forms are reviewed when updated each year to ensure each section of the form is complete and accurate. • 10A NCAC 09 .0515(a) Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Documentation of discussion of the Parent Participation Plan was not on file for all five children enrolled. I recommend creating a Parent Participation Plan for your program which includes all components of Child Care Rule and including this plan in your enrollment packet for enrolling parents to sign, as well as having existing parents sign this. • 10A NCAC 09 .0514(f) Annual Professional Development Plan and Staff Evaluation Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent staff evaluation on file was dated 1/04/2021. The most recent Professional Development Plan on file was dated 1/06/2022 I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0901(i) Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 2, a bottle of sweet tea was observed on a shelf accessible to children, not stored in an opaque container. Please store any staff beverages, other than water, in an opaque container with a lid. • .0607(d)(10) The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan was last updated on 1/23/2017. I recommend keeping a calendar with all yearly due dates for recurring staff certifications and trainings. • .0607(e) The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The contents of the Ready To Go file did not include contact information for all staff members, applications for six children enrolled, or blank copies of incident reports. I recommend reviewing the components of the Ready to Go file to ensure all components are present. I also recommend reviewing staff and children’s information kept in this file on a monthly basis as children enroll and drop from the program, to ensure information remains current. Consultation Provided During Visit: • The following Child Care Rules were reviewed with Ms. Wright during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN All center administrators and staff members shall complete a professional development plan within one year of employment and review the plan annually. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework, or training needed to meet the individual’s planned goals; (4) be completed by the administrator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1706 NUTRITION STANDARDS ‘ (a) Meals and snacks served to children in a Family Child Care Home shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number, and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks at no cost. (g) The operator, additional caregivers, and substitute providers shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. • Please review all posted Staff: Child Ratio Worksheets to ensure “Voluntary Enhanced Requirements” are checked, the age of the youngest child is reflected on the document, and the capacity and ratios are recorded accurately on the forms. • Please monitor all car seats stored on the van which are not currently in use to ensure any expired car seats are removed from the vehicle. • Please consider adding more types of soft and/or rubber blocks to Space 1 A/B. • Please consider adding more detailed information to the smoking and tobacco restriction located in several of the children’s files, as opposed to solely stating “No Smoking”. • Please document “B” on safe sleep records when you place a child on his/her back, even if the child immediately rolls to his/her stomach/side. Then record “S” or “T” during the next sleep check. • Please consider switching the positions of your cribs in the space designated for infants and toddlers, to ensure the evacuation crib is located closest to the direct exit in the event of an emergency. • Please monitor the windows of the van used to transport children (particularly the back seat closest to the window, on the driver’s side and the middle right seat closest to the door, behind the front passenger seat) for water leaks. • Please monitor all battery-operated toys to ensure they have working batteries. • Please monitor the outdoor fencing, posts, and wire mesh for developing areas of rust. • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please be reminded that all checklists for Program, Children, Staff, Substitutes, and Volunteers can be found on the Division’s website at the following link: https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms . Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times