Carol L. Danforth Early Childhood LAB

NC GS 110-90 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 8 Completed Date: 2/9/2026 Age: From 3 To 5 Total Minutes: 125 Time In: 10:25 AM Time Out: 12:30 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 Catina Boulware, Director. Currently this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 99% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 03/05/2025. A sanitation inspection was completed 12/01/2025 with a superior classification. The last fire inspection was conducted 02/04/2025. You stated your fire inspection is scheduled for tomorrow. Program records and required postings were monitored. A fire drill was conducted on 01/20/2026. A shelter in place drill was documented on 12/19/2025. An outdoor inspection was documented on 01/22/2026. 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. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. During the visit, I observed one bottle of Benadryl stored in an unlocked cabinet over five (5) vertical feet high. 15A NCAC 18A .2820(d) 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 EpiPen that was stored in a bag and not in the original packaging. .0803(2)(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. During the visit, I observed one file that did not have an updated emergency information form. .0701(a) 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 file that did not have an updated health questionnaire form. .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 02/23/2026. 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 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 Benadryl is not considered an emergency medication even when it accompanies an EpiPen. Benadryl cannot be kept out of reach. It must be kept inaccessible in locked storage. You moved the Benadryl to locked storage during the visit. • We discussed that all prescription medications must be in the original packaging to ensure the medication is for the correct child and the dosage can be monitored. You stated you would talk with the parent and get the original packaging for the EpiPen. • We discussed that each employee must update their health questionnaire form and the emergency information form annually to ensure that all important information is up to date at all times. One employee updated these two forms during the visit. Information discussed today related to the QRIS modernization plan: • During the visit, we discussed the QRIS modernization plan. I completed a template documenting the pathway you plan to pursue, identifying needs, documenting a timeline for completion, resources, next steps, etc. Over the next few months, I’ll be checking in with you, ahead of your next visit to check on progress and determine if additional assistance is needed with WORKS, NCRLAP/ERS, accreditation, etc. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. • Please send me a copy of your fire inspection when you receive it. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 7 Completed Date: 8/27/2025 Age: From 3 To 4 Total Minutes: 75 Time In: 10:05 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Catina Boulware, Director. Currently this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and small groups. No new staff were reported at this program. No medications were observed nor reported. Storage hazardous items was monitored today. A playground inspection was recorded 08/19/2025. A fire drill was recorded 08/20/2025. A lock down drill for the facility was recorded 06/26/2025. The most recent fire inspection was on 02/04/2025. I observed a sanitation inspection was last conducted on 04/09/2025 earning a superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 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, we discussed that the ABCMS Provider Portal was not up to date. 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 09/10/2025. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the ABCMS Provider Portal was not current. This portal needs to be updated immediately and kept current at all times. I emailed you tutorial guides during today’s visit. During an AC visit in March 2025, the following consultation was provided. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing an online training module for Moodle. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now and take the Moodle training as soon as it is available. • In September, childcare consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning in October, childcare consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. • Make sure you are signed up to receive the Raise NC Newsletters as information will be shared with you all about important DCDEE updates through these newsletters. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. 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: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 7 Completed Date: 8/27/2025 Age: From 3 To 4 Total Minutes: 75 Time In: 10:05 AM Time Out: 11:20 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Catina Boulware, Director. Currently this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in free play, routine activities, and small groups. No new staff were reported at this program. No medications were observed nor reported. Storage hazardous items was monitored today. A playground inspection was recorded 08/19/2025. A fire drill was recorded 08/20/2025. A lock down drill for the facility was recorded 06/26/2025. The most recent fire inspection was on 02/04/2025. I observed a sanitation inspection was last conducted on 04/09/2025 earning a superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 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, we discussed that the ABCMS Provider Portal was not up to date. 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 09/10/2025. 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • We discussed that the ABCMS Provider Portal was not current. This portal needs to be updated immediately and kept current at all times. I emailed you tutorial guides during today’s visit. During an AC visit in March 2025, the following consultation was provided. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new 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. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On June 26th, the North Carolina Rules Review Commission (RRC) approved the QRIS Modernization rules adopted by the NC Child Care Commission during their April meeting. The Division of Child Development and Early Education is preparing an online training module for Moodle. We encourage you to visit the QRIS Modernization page on the DCDEE website to learn more now and take the Moodle training as soon as it is available. • In September, childcare consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. • Beginning in October, childcare consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license within 12 months based on the pathway chosen. • Make sure you are signed up to receive the Raise NC Newsletters as information will be shared with you all about important DCDEE updates through these newsletters. • Make sure all employees have updated WORKS letters on file available for review. When evaluating education, we can only use the WORKS letters to determine each employee’s star rating. 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: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/5/2025 Number Present: 7 Completed Date: 3/5/2025 Age: From 4 To 5 Total Minutes: 110 Time In: 08:25 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Catina Anderson-Boulware, Coordinator, and Caryn Fletcher, Lead Teacher. Currently, this program operates with a five-star license issued 10/25/23. License restrictions include daytime care only, meets enhanced ratios, meets enhance space, and meets all enhanced requirements and reduced ratios. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children eating breakfast, engaged in free play, routine activities, and group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. The last annual compliance visit was conducted on 03/26/2024. A sanitation inspection was completed 12/06/2024 with a superior classification. The last fire inspection was conducted 02/04/2025. Program records and required postings were monitored. A fire drill was conducted on 02/25/2025. A shelter in place drill was documented on 03/05/2025. An outdoor inspection was documented on 02/24/2025. 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. Hazardous items were stored in locked closets. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 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 employee file that did not contain a medical report. .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 03/19/2025. 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 violation: • We discussed that all employees must have a medical report on file prior to employment. You stated you would have this employee complete a medical report immediately. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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 .0508 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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 .0607 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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 .0803 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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

GS 110-91 · Violation

Name of Operation: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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: CAROL L. DANFORTH EARLY CHILDHOOD LAB Facility ID: 34001304 Consultant: WHITNEY PARKER Operation Type: Center Case Number: Visit Date: 3/26/2024 Number Present: 5 Completed Date: 3/26/2024 Age: From 3 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Whitney Parker, Childcare Consultant with Lakeisha Weston, Lead Teacher, and Crystal Harvey, Director. Currently, this program operates with a five-star license issued 4/5/19. License restrictions include daytime care only, meets enhanced ratios, and meets enhance space. The license was observed, and the restrictions were found in compliance. This program is operated by Forsyth Technical Community College. The program’s compliance history was 94% 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 and routine activities. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum. The last annual compliance visit was conducted on 04/27/2023. A sanitation inspection was completed 03/18/2024 with a superior classification. I received a copy of this inspection during the visit. The last fire inspection was conducted 11/01/2023. Program records and required postings were monitored. A fire drill was conducted on 03/19/2024. A shelter in place drill was documented on 02/01/2024. An outdoor inspection was documented on 02/09/2024. 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 the locked kitchen and locked storage/laundry room. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. I observed an activity plan dated for 03/11/2024-03/15/2024. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. I observed a menu dated for 03/11/24-03/15/2024. 10A NCAC 09 .0901(b) 807 A safe indoor and outdoor environment was not provided for the children. I did not observe any safety concerns during this visit. Outside on the back playground, I observed a seven inch gap/hole between the ground and the fence. 10A NCAC 09 .0601(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. I observed a Ready to Go File that only included the EPR Plan and each child's activity. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. I observed an EpiPen on-site that had a medical action plan with it but did not have a medication authorization form to accompany it. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 04/09/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • We reviewed rule 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS. Permission authorizations must be on file for any medication on-site and must accompany an Action Plan. • We reviewed rule 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS. Menus must be posted and current. • We reviewed rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS. Activity plans must be current and posted. • We reviewed rule 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS. We discussed that the Ready to Go file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. • We reviewed rule 10A NCAC 09 .0601 SAFE ENVIRONMENT. We discussed filling the gaps measuring seven inches on the playground at the back of the fence line. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • On 02/21/2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Harvey confirmed during today’s visit that the email was received and provided information that she is in the process of enrolling for the training. • Make sure you complete a playground inspection this week. • When your new license reflecting your updated restrictions comes in the mail, please mail me your old one. 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