Ctrs FOR Exceptional Children: THE Children'S CTR

NC GS 110-90 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 85 Completed Date: 5/12/2026 Age: From 0 To 12 Total Minutes: 240 Time In: 09:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Vickie Miller-Warren, principal, and Shawn Martin, administrator, assisted me with the visit. Your program currently operates with a five-star license effective 6/21/24. Restrictions include day time care only, Certified Developmental Day, meets enhanced ratios minus one and enhanced space. The facility is operated by the Winston-Salem/Forsyth County Schools and The Centers for Execeptional Children, Inc. The NC Secretary of State website was reviewed on 5/12/2026 and The Centers for Exceptional Children, Inc. was listed as current and active. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing outside, in free play and engaged in learning activities directly with staff members. No new classroom staff were reported. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 5/8/2026. A fire drill was recorded on 4/24/2026 . A shelter-in-place drill for the facility was recorded 3/16/2026. The most recent fire inspection was on 2/9/2026. I observed a sanitation inspection was last conducted on 11/24/2025 earning a Superior classification. The following violations were cited during today’s visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In Space 107, there was one vinyl couch that had a hole that needs repair. in Space 104, there was a round vinyl cushion that had small holes around the top and needs repair. .0601(d) 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. One substitute did not have an emergency form on file. .0701(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations were corrected during the visit today. 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. Additional information: · You will be notified regarding the school-age developmental day licensure. · Any plans or decisions that will impact the licensure of the program must be communicated prior to making any changes due to regulations. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 86 Completed Date: 11/12/2025 Age: From 0 To 10 Total Minutes: 395 Time In: 09:05 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Child Care Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. All information in this report has been reviewed with me today. The last annual compliance visit was conducted on 12/5/2024. A sanitation inspection was completed on 6/2/2025 with a Superior classification. The last fire inspection was conducted 9/2/2025. Program records and required postings were monitored. A fire drill was conducted on 10/23/2025. A lockdown drill was documented on 9/29/2025. An outdoor inspection was documented on 10/30/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms Miller-Warren confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, newsletters, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. DPI offsite verification forms were available for staff, children and transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.Five(5) infant feeding plans did not have signatures or dates. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. There were leaves on the main playground around the equipment and sidewalks that were a slippery hazard for children and adults. This was corrected during the visit. There was one purse in Space 209 that was accessible. This was corrected during the visit. There was one rusting chain on a swing and three rusting hooks on the adaptive school-age playground. There were 5 bolts rusting on the swings on the toddler playground. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, there was one sunscreen with expired permission that was not discarded or returned to parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have approved first aid training. .1102(c) 1898 Staff did not complete the health and safety training within one year of employment. Three(3) staff did not complete the "Medication Administration" training topic within one year or employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 26, 2025, I must receive compliance documentation that describes accurately and in detail how and when the violations were corrected. The documentation must also include the facility ID number, date the documentation is being submitted, title of the person signing the documentation, and each violation item number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.davis@dhhs.nc.gov. Technical Assistance and Consultation provided during today’s visit: -any leftover medications should be discarded or returned to parent within 72 hours. -Outdoor equipment showing signs of rust need to be repaired. -Infant feeding plans need to be dated and have signatures and be updated as feeding changes. -Training topics for health and safety trainings are required to be completed within one year of hire. Additional Information: -On the ABCMS portal, staff that are no longer employed at the facility should be removed from the roster. All current staff should be linked to the facility roster. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. Beginning In October, child care consultants will discuss the new rules 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. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes"—will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early 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 .2902 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 86 Completed Date: 11/12/2025 Age: From 0 To 10 Total Minutes: 395 Time In: 09:05 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Child Care Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. All information in this report has been reviewed with me today. The last annual compliance visit was conducted on 12/5/2024. A sanitation inspection was completed on 6/2/2025 with a Superior classification. The last fire inspection was conducted 9/2/2025. Program records and required postings were monitored. A fire drill was conducted on 10/23/2025. A lockdown drill was documented on 9/29/2025. An outdoor inspection was documented on 10/30/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms Miller-Warren confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, newsletters, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. DPI offsite verification forms were available for staff, children and transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.Five(5) infant feeding plans did not have signatures or dates. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. There were leaves on the main playground around the equipment and sidewalks that were a slippery hazard for children and adults. This was corrected during the visit. There was one purse in Space 209 that was accessible. This was corrected during the visit. There was one rusting chain on a swing and three rusting hooks on the adaptive school-age playground. There were 5 bolts rusting on the swings on the toddler playground. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, there was one sunscreen with expired permission that was not discarded or returned to parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have approved first aid training. .1102(c) 1898 Staff did not complete the health and safety training within one year of employment. Three(3) staff did not complete the "Medication Administration" training topic within one year or employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 26, 2025, I must receive compliance documentation that describes accurately and in detail how and when the violations were corrected. The documentation must also include the facility ID number, date the documentation is being submitted, title of the person signing the documentation, and each violation item number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.davis@dhhs.nc.gov. Technical Assistance and Consultation provided during today’s visit: -any leftover medications should be discarded or returned to parent within 72 hours. -Outdoor equipment showing signs of rust need to be repaired. -Infant feeding plans need to be dated and have signatures and be updated as feeding changes. -Training topics for health and safety trainings are required to be completed within one year of hire. Additional Information: -On the ABCMS portal, staff that are no longer employed at the facility should be removed from the roster. All current staff should be linked to the facility roster. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. Beginning In October, child care consultants will discuss the new rules 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. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes"—will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early 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: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 11/12/2025 Number Present: 86 Completed Date: 11/12/2025 Age: From 0 To 10 Total Minutes: 395 Time In: 09:05 AM Time Out: 03:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Child Care Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses the Creative Curriculum, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. All information in this report has been reviewed with me today. The last annual compliance visit was conducted on 12/5/2024. A sanitation inspection was completed on 6/2/2025 with a Superior classification. The last fire inspection was conducted 9/2/2025. Program records and required postings were monitored. A fire drill was conducted on 10/23/2025. A lockdown drill was documented on 9/29/2025. An outdoor inspection was documented on 10/30/2025. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms Miller-Warren confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, newsletters, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. DPI offsite verification forms were available for staff, children and transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.Five(5) infant feeding plans did not have signatures or dates. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. There were leaves on the main playground around the equipment and sidewalks that were a slippery hazard for children and adults. This was corrected during the visit. There was one purse in Space 209 that was accessible. This was corrected during the visit. There was one rusting chain on a swing and three rusting hooks on the adaptive school-age playground. There were 5 bolts rusting on the swings on the toddler playground. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 102, there was one sunscreen with expired permission that was not discarded or returned to parent. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff did not have approved first aid training. .1102(c) 1898 Staff did not complete the health and safety training within one year of employment. Three(3) staff did not complete the "Medication Administration" training topic within one year or employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before November 26, 2025, I must receive compliance documentation that describes accurately and in detail how and when the violations were corrected. The documentation must also include the facility ID number, date the documentation is being submitted, title of the person signing the documentation, and each violation item number. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to jennifer.davis@dhhs.nc.gov. Technical Assistance and Consultation provided during today’s visit: -any leftover medications should be discarded or returned to parent within 72 hours. -Outdoor equipment showing signs of rust need to be repaired. -Infant feeding plans need to be dated and have signatures and be updated as feeding changes. -Training topics for health and safety trainings are required to be completed within one year of hire. Additional Information: -On the ABCMS portal, staff that are no longer employed at the facility should be removed from the roster. All current staff should be linked to the facility roster. Begun in February 2023, the Child Care Commission’s work to modernize North Carolina’s QRIS is now complete. Pathways to the Stars, Section .3200, Standards for Two through Five Star Rated Licenses became effective July 1, 2025. Informed by national research, trends and outcomes, and input from more than 1,800 NC early childhood education professionals, Pathways to the Stars incorporates recommendations for change, such as: • Offering a choice of three pathways to demonstrate quality and earn a 2-5 Star Rated License. • Updating education standards for early childhood educators to expand options; and • Adding standards for both educators and facilities that support continuous quality improvement and family/community engagement and leadership best practices. A new Pathways to the Stars Rules Roll Out module is now available in the DCDEE Moodle digital learning platform. Beginning In October, child care consultants will discuss the new rules 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. Effective February 1, 2025, ECERS-3, ITERS-3, and FCCERS-3—also known as the "Threes"—will be used for program assessments and reassessments. Find information about updated resources, credit hour trainings, and outreach assessment opportunities from the North Carolina Rated License Project (NCRLAP). At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early 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: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 89 Completed Date: 5/15/2025 Age: From 0 To 11 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Vickie Miller-Warren, principal, and Cheryl Taylor, program education manager, assisted me with the visit. Your program currently operates with a five-star license effective 6/21/24. Restrictions include day time care only, Certified Developmental Day, meets enhanced ratios minus one and enhanced space. The facility is operated by the Winston-Salem/Forsyth County Schools and The Centers for Execeptional Children, Inc. The NC Secretary of State website was reviewed on 5/14/2025 and The Centers for Exceptional Children, Inc. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing outside, in free play and engaged in learning activities directly with staff members. One new classroom staff was reported. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 4/28/2025. A fire drill was recorded on 4/28/2025. A lockdown drill for the facility was recorded 3/5/2025. The most recent fire inspection was on 11/25/2024. I observed a sanitation inspection was last conducted on 3/21/2025 earning a Superior classification. The following violation was cited during today’s visit: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The preschool playground fence facing Coliseum Drive was between 44 1/2 inches and 47 inches near the right corner. GS 110-91(6); .0605((i) 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 5/29/2025. 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: jennifer.davis@dhhs.nc.gov 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. A plan for the toddler playground regarding the 3 1/2 inch spaces between the metal slats needs to be put in place due to possible entrapment. Please send to me by 5/29/2025. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional information: · The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. · A work order has been placed for the outdoor preschool fencing to be heightened to the 48 inch requirement. Dr. Miller-Warren also stated that a request for the fencing to be replaced with a higher fence has been turned into the WSFCS. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 5/15/2025 Number Present: 89 Completed Date: 5/15/2025 Age: From 0 To 11 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Vickie Miller-Warren, principal, and Cheryl Taylor, program education manager, assisted me with the visit. Your program currently operates with a five-star license effective 6/21/24. Restrictions include day time care only, Certified Developmental Day, meets enhanced ratios minus one and enhanced space. The facility is operated by the Winston-Salem/Forsyth County Schools and The Centers for Execeptional Children, Inc. The NC Secretary of State website was reviewed on 5/14/2025 and The Centers for Exceptional Children, Inc. was listed as current and active. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing outside, in free play and engaged in learning activities directly with staff members. One new classroom staff was reported. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today. A playground inspection was recorded on 4/28/2025. A fire drill was recorded on 4/28/2025. A lockdown drill for the facility was recorded 3/5/2025. The most recent fire inspection was on 11/25/2024. I observed a sanitation inspection was last conducted on 3/21/2025 earning a Superior classification. The following violation was cited during today’s visit: Violation Number Comment Rule 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The preschool playground fence facing Coliseum Drive was between 44 1/2 inches and 47 inches near the right corner. GS 110-91(6); .0605((i) 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 5/29/2025. 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: jennifer.davis@dhhs.nc.gov 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. A plan for the toddler playground regarding the 3 1/2 inch spaces between the metal slats needs to be put in place due to possible entrapment. Please send to me by 5/29/2025. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Additional information: · The North Carolina Child Care Commission is proposing new rules and rule amendments in response to Session Laws 2023-40 and 2024-34 regarding the modernization of the state’s quality rating improvement system (QRIS). QRIS is the star-rating licensing system that applies to all licensed N.C. child care centers and family child care homes. The purpose of the star- rating system is twofold: 1) to promote high-quality child care by providing pathways for child care facilities to meet enhanced standards; and 2) to give parents a simple tool to help make informed decisions about the quality of a facility based on standardized educational and programmatic factors. Learn more about the QRIS Modernization in this webinar for child care professionals. · A work order has been placed for the outdoor preschool fencing to be heightened to the 48 inch requirement. Dr. Miller-Warren also stated that a request for the fencing to be replaced with a higher fence has been turned into the WSFCS. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant (336) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: SUSAN BROWN Operation Type: Center Case Number: 0425-098A Visit Date: 4/14/2025 Number Present: 58 Completed Date: 4/14/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:00 PM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Dr. Vickie Miller-Warren, principal accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Dr. Miller-Warren and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violation was confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Staff failed to properly supervise a four-year-old child who was on the playground resulting in the child gaining access to the roadway in front of the center. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. The staff members’ failure to provide adequate supervision for a four-year-old child on 4/8/25 created an unsafe environment and placed the child at significant risk of harm 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. The Division substantiated child maltreatment based on staff members' failure to provide a safe environment to meet a four-year-old child's health and safety which placed the child at risk of serious injury/harm. GS 110-105.6(a) Violations must be corrected immediately. Within one week (04/21/2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me Susan Brown, investigations consultant at email: susan.brown@dhhs.nc.gov. You may contact me Susan Brown, investigations consultant at email: susan.brown@dhhs.nc.gov phone:(704)533-2037 or Elizabeth Nichols, North Central investigations supervisor email: at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-105 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: SUSAN BROWN Operation Type: Center Case Number: 0425-098A Visit Date: 4/14/2025 Number Present: 58 Completed Date: 4/14/2025 Age: From 0 To 5 Total Minutes: 170 Time In: 12:00 PM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Dr. Vickie Miller-Warren, principal accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Dr. Miller-Warren and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violation was confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Staff failed to properly supervise a four-year-old child who was on the playground resulting in the child gaining access to the roadway in front of the center. .1801(a)(1-5) 807 A safe indoor and outdoor environment was not provided for the children. The staff members’ failure to provide adequate supervision for a four-year-old child on 4/8/25 created an unsafe environment and placed the child at significant risk of harm 10A NCAC 09 .0601(a) 1810 There was a substantiation of child maltreatment. The Division substantiated child maltreatment based on staff members' failure to provide a safe environment to meet a four-year-old child's health and safety which placed the child at risk of serious injury/harm. GS 110-105.6(a) Violations must be corrected immediately. Within one week (04/21/2025), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me Susan Brown, investigations consultant at email: susan.brown@dhhs.nc.gov. You may contact me Susan Brown, investigations consultant at email: susan.brown@dhhs.nc.gov phone:(704)533-2037 or Elizabeth Nichols, North Central investigations supervisor email: at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2902 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/5/2024 Number Present: 86 Completed Date: 12/5/2024 Age: From 0 To 12 Total Minutes: 335 Time In: 08:45 AM Time Out: 02:20 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, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, and Dr. Vickie Miller-Warren , Principal. Your program currently operates with a Five-Star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/2/2024. The program’s compliance history was 91% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Children were also observed having outdoor gross motor play. 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 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 12/13/2023. A sanitation inspection was completed on 11/25/2024 with a Superior classification. The last fire inspection was conducted 2/5/2024. Program records and required postings were monitored. A fire drill was conducted on 11/21/2024. A shelter in place drill was documented on 10/15/2024. An outdoor inspection was documented on 11/21/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. 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. In Space 102, a current activity plan was not posted. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the adaptive playground, there was moss growing on the surfacing which causes a safety hazard due to it being slippery. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In Space 205, there was one expired medication that was not returned to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 107, there were six plastic bags in the diaper table accessible. .0604(q) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In Space 104, there were foam alphabet letters accessible. In Space 107, there were three(3) foam boards for fine motor play accessible. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff member did not have two topic areas covered or hours documented on orientation form. .1101(a) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. In Space 205, there was one prescription medication not stored in original packaging. 10A NCAC 09 .0803(2)(b)(i-v) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One substitute that works more than ten days a year had expired health and safety training. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 19, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Prescribed medications must be stored in original packaging with label. Any medicine that has expired or no longer being used needs to be • Foam and plastic bags should not be accessible to children under three years of age. • Health and safety training is due every five years and substitutes that work more than ten days a year are required to take it. • Current activity plans should be posted. If staff are out, procedures for getting plan should be put in place. Additional Information: -As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2902 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 97 Completed Date: 12/13/2023 Age: From 0 To 11 Total Minutes: 390 Time In: 09:05 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, Vickie Miller-Warren , Principal, and LaQuetta Williams, Assistant Principal. Your program currently operates with a five-star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/6/2023. The program’s compliance history was 81% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 1/25/2023. A sanitation inspection was completed on January 24, 2023 with a Superior classification. The last fire inspection was conducted 9/12/2023. Program records and required postings were monitored. A fire drill was conducted on 11/16/2023. A shelter in place drill was documented on 12/5/2023. An outdoor inspection was documented on 12/11/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. I also observed emergency information, and daily transportation rosters 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. The activity plan in Space 100 was not current. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outdoor doors to the mechanical room which is accessible to children had peeling paint. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the infant/toddler playground, there was a chalkboard with peeling paint and a bent piece of wood. On the garden playground, there was a piece of landscape border that was a tripping hazard. G.S. 110-91(6); .0601(b) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Children that are routinely transported did not have written permission on file. .1003(i)(j) 1301 Center did not maintain a record of daily attendance. In Space 205, five children had not been signed in for 12/13/2023. GS 110-91(9) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred in May 2023 was not sent to the Consultant within seven days after the incident occurred. .0802(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your facility is in Cohort 1 We discussed applying for the ERS during the prep year. We discussed reaching out to Smart Start for technical assistance and to infant/toddler specialists. The NCRLAP website has many trainings and resources for the ERS at www.ncrlap.org • Procedures for sending incident reports to the consultant should be implemented in regards to who sends them. -Activity plans should be posted for the current week. Procedures for staff if they are absent should be implemented. - Sign-in-and sign out for attendance should be maintained and up-to-date. If parents forget to sign -in, than staff are repsonsible for maintaining accurate records -All students transported by bus should have permission on file. - Maintenance requests need to be placed for any equipment of building needs such as painting and equipment that needs repair. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 97 Completed Date: 12/13/2023 Age: From 0 To 11 Total Minutes: 390 Time In: 09:05 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, Vickie Miller-Warren , Principal, and LaQuetta Williams, Assistant Principal. Your program currently operates with a five-star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/6/2023. The program’s compliance history was 81% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 1/25/2023. A sanitation inspection was completed on January 24, 2023 with a Superior classification. The last fire inspection was conducted 9/12/2023. Program records and required postings were monitored. A fire drill was conducted on 11/16/2023. A shelter in place drill was documented on 12/5/2023. An outdoor inspection was documented on 12/11/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. I also observed emergency information, and daily transportation rosters 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. The activity plan in Space 100 was not current. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outdoor doors to the mechanical room which is accessible to children had peeling paint. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the infant/toddler playground, there was a chalkboard with peeling paint and a bent piece of wood. On the garden playground, there was a piece of landscape border that was a tripping hazard. G.S. 110-91(6); .0601(b) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Children that are routinely transported did not have written permission on file. .1003(i)(j) 1301 Center did not maintain a record of daily attendance. In Space 205, five children had not been signed in for 12/13/2023. GS 110-91(9) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred in May 2023 was not sent to the Consultant within seven days after the incident occurred. .0802(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your facility is in Cohort 1 We discussed applying for the ERS during the prep year. We discussed reaching out to Smart Start for technical assistance and to infant/toddler specialists. The NCRLAP website has many trainings and resources for the ERS at www.ncrlap.org • Procedures for sending incident reports to the consultant should be implemented in regards to who sends them. -Activity plans should be posted for the current week. Procedures for staff if they are absent should be implemented. - Sign-in-and sign out for attendance should be maintained and up-to-date. If parents forget to sign -in, than staff are repsonsible for maintaining accurate records -All students transported by bus should have permission on file. - Maintenance requests need to be placed for any equipment of building needs such as painting and equipment that needs repair. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 97 Completed Date: 12/13/2023 Age: From 0 To 11 Total Minutes: 390 Time In: 09:05 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, Vickie Miller-Warren , Principal, and LaQuetta Williams, Assistant Principal. Your program currently operates with a five-star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/6/2023. The program’s compliance history was 81% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 1/25/2023. A sanitation inspection was completed on January 24, 2023 with a Superior classification. The last fire inspection was conducted 9/12/2023. Program records and required postings were monitored. A fire drill was conducted on 11/16/2023. A shelter in place drill was documented on 12/5/2023. An outdoor inspection was documented on 12/11/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. I also observed emergency information, and daily transportation rosters 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. The activity plan in Space 100 was not current. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outdoor doors to the mechanical room which is accessible to children had peeling paint. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the infant/toddler playground, there was a chalkboard with peeling paint and a bent piece of wood. On the garden playground, there was a piece of landscape border that was a tripping hazard. G.S. 110-91(6); .0601(b) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Children that are routinely transported did not have written permission on file. .1003(i)(j) 1301 Center did not maintain a record of daily attendance. In Space 205, five children had not been signed in for 12/13/2023. GS 110-91(9) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred in May 2023 was not sent to the Consultant within seven days after the incident occurred. .0802(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your facility is in Cohort 1 We discussed applying for the ERS during the prep year. We discussed reaching out to Smart Start for technical assistance and to infant/toddler specialists. The NCRLAP website has many trainings and resources for the ERS at www.ncrlap.org • Procedures for sending incident reports to the consultant should be implemented in regards to who sends them. -Activity plans should be posted for the current week. Procedures for staff if they are absent should be implemented. - Sign-in-and sign out for attendance should be maintained and up-to-date. If parents forget to sign -in, than staff are repsonsible for maintaining accurate records -All students transported by bus should have permission on file. - Maintenance requests need to be placed for any equipment of building needs such as painting and equipment that needs repair. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: CTRS FOR EXCEPTIONAL CHILDREN: THE CHILDREN'S CTR Facility ID: 34000873 Consultant: JENNIFER DAVIS Operation Type: Center Case Number: Visit Date: 12/13/2023 Number Present: 97 Completed Date: 12/13/2023 Age: From 0 To 11 Total Minutes: 390 Time In: 09:05 AM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .2900 as required for certified developmental day programs. This visit was conducted by Jennifer Davis, Childcare Consultant with Shawn Martin, Director, Vickie Miller-Warren , Principal, and LaQuetta Williams, Assistant Principal. Your program currently operates with a five-star license. Restrictions include daytime care only, meets enhanced ratios, and certified developmental day enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This facility is owned and operated by The Winston-Salem Forsyth County Schools and The Centers for Exceptional Children, Inc. which was listed as current and active on the NC Secretary of State website when checked on 12/6/2023. The program’s compliance history was 81% 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 positive interactions today. I observed children engaged with teachers, in gross motor play and in routine care. I observed developmentally appropriate materials and activities were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your 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, Teaching Strategies, the North Carolina Foundations of Early Learning and Development, the Common Core Standards, and the Extended Common Core Standards. The last annual compliance visit was conducted on 1/25/2023. A sanitation inspection was completed on January 24, 2023 with a Superior classification. The last fire inspection was conducted 9/12/2023. Program records and required postings were monitored. A fire drill was conducted on 11/16/2023. A shelter in place drill was documented on 12/5/2023. An outdoor inspection was documented on 12/11/2023. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces 203, 205, 207, 209, and 210. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified in compliance. The program operates 7 hours per day, Monday through Friday, 10 months per year. Children’s individual plans for care and developmentally appropriate activity plans are followed, and opportunities for inclusion with children who are typically developing are offered. Ms confirmed this facility provides the following five family involvement activities: holding parent/teacher conferences four times a year; communicating on an individual basis with parents via daily notes, progress reports, or surveys; having parents as members of a center advisory board; providing opportunities for parent volunteers to assist with special classroom activities, field trips, and other learning experiences for children; and providing parents with referral information about other community programs and resources serving young children. You stated that you do provide transportation provided by the Winston-Salem/Forsyth County Schools. I observed a DPI off-site verification form. I also observed emergency information, and daily transportation rosters 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. The activity plan in Space 100 was not current. GS 110-91(12); .0508(a) 620 All walls and ceilings including doors and windows were not kept clean and in good repair. The outdoor doors to the mechanical room which is accessible to children had peeling paint. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. On the infant/toddler playground, there was a chalkboard with peeling paint and a bent piece of wood. On the garden playground, there was a piece of landscape border that was a tripping hazard. G.S. 110-91(6); .0601(b) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Children that are routinely transported did not have written permission on file. .1003(i)(j) 1301 Center did not maintain a record of daily attendance. In Space 205, five children had not been signed in for 12/13/2023. GS 110-91(9) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred in May 2023 was not sent to the Consultant within seven days after the incident occurred. .0802(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to: jennifer.davis@dhhs.nc.gov 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 provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Your facility is in Cohort 1 We discussed applying for the ERS during the prep year. We discussed reaching out to Smart Start for technical assistance and to infant/toddler specialists. The NCRLAP website has many trainings and resources for the ERS at www.ncrlap.org • Procedures for sending incident reports to the consultant should be implemented in regards to who sends them. -Activity plans should be posted for the current week. Procedures for staff if they are absent should be implemented. - Sign-in-and sign out for attendance should be maintained and up-to-date. If parents forget to sign -in, than staff are repsonsible for maintaining accurate records -All students transported by bus should have permission on file. - Maintenance requests need to be placed for any equipment of building needs such as painting and equipment that needs repair. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Jennifer Davis, Child Care Consultant ( 336 ) 317-5041 jennifer.davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times