Discovering OUR World Child Development Center LLC

10A NCAC 09 .0601 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 5/13/2026 Number Present: 14 Completed Date: 5/13/2026 Age: From 0 To 4 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Melinda Lescar, Child Care Consultant, and Cynthia Dunston, Owner. Your program currently operates with a Four-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care are on ground level only. The NC Secretary of State website was reviewed on May 12, 2026, and Discovering Our World Child Development Center, LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. One (1) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage hazardous items were monitored today. A playground inspection was recorded April 15, 2026. A fire drill was recorded May 12, 2026. A lock down drill for the facility was recorded on March 16, 2026. The most recent fire inspection was on April 28, 2026. I observed a sanitation inspection was last conducted on January 8, 2026, earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor playground, I observed a broken container with sharp edges and small pieces that were broken off, a broken easel, and black plastic lining under the surfacing that was exposed in several areas. During the visit, the broken container with sharp edges and small pieces, and the easel was removed from the playground. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before May 27, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27714 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item# 807- I observed on the outdoor playground a broken container with sharp edges and small pieces broken off, a broken easel, and black plastic lining under the surfacing was exposed in several areas. Ms. Walton removed the broken container with the small pieces and the easel during the visit. Additional Information/Consultation: On today’s visit, Ms. Dunston expressed interest in pursuing QRIS/Pathway 1: Program Assessment. I encouraged Ms. Dunston to call me, and we can discuss the requirements within Pathway 1: Program Assessment. It is recommended for all teachers and administrators to review WORKS accounts and make sure that all education has been updated. It is important that all information is in the system and verified prior to applying for a rated license. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: MELINDA LESCAR Operation Type: Center Case Number: Visit Date: 5/13/2026 Number Present: 14 Completed Date: 5/13/2026 Age: From 0 To 4 Total Minutes: 145 Time In: 09:25 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Melinda Lescar, Child Care Consultant, and Cynthia Dunston, Owner. Your program currently operates with a Four-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care are on ground level only. The NC Secretary of State website was reviewed on May 12, 2026, and Discovering Our World Child Development Center, LLC was listed as current and active. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children in free play activities, outdoor play, and lunch. One (1) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. No medications were observed nor reported. Storage hazardous items were monitored today. A playground inspection was recorded April 15, 2026. A fire drill was recorded May 12, 2026. A lock down drill for the facility was recorded on March 16, 2026. The most recent fire inspection was on April 28, 2026. I observed a sanitation inspection was last conducted on January 8, 2026, earning a Superior classification. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor playground, I observed a broken container with sharp edges and small pieces that were broken off, a broken easel, and black plastic lining under the surfacing that was exposed in several areas. During the visit, the broken container with sharp edges and small pieces, and the easel was removed from the playground. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before May 27, 2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to melinda.lescar@dhhs.nc.gov or mail two copies of the letter to: Melinda Lescar P.O. Box 25174 Winston Salem, NC 27714 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Item# 807- I observed on the outdoor playground a broken container with sharp edges and small pieces broken off, a broken easel, and black plastic lining under the surfacing was exposed in several areas. Ms. Walton removed the broken container with the small pieces and the easel during the visit. Additional Information/Consultation: On today’s visit, Ms. Dunston expressed interest in pursuing QRIS/Pathway 1: Program Assessment. I encouraged Ms. Dunston to call me, and we can discuss the requirements within Pathway 1: Program Assessment. It is recommended for all teachers and administrators to review WORKS accounts and make sure that all education has been updated. It is important that all information is in the system and verified prior to applying for a rated license. You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Melinda Lescar, (336) 987-0960, melinda.lescar@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: VACANT TEAM 2 Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 12 Completed Date: 6/26/2025 Age: From 1 To 5 Total Minutes: 189 Time In: 09:21 AM Time Out: 12:30 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. This visit was conducted with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, playing outdoors, and eating lunch during the visit. Two new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 6/16/2025. A fire drill was recorded 6/16/2025. The most recent shelter-in-place drill for the facility was recorded 4/17/25. The most recent fire inspection was on 6/04/2024. I observed a sanitation inspection was last conducted on 3/27/2025 earning a Superior classification. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 6/04/2024. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground accessed by children of all ages, plastic sprinkler spikes with greater than three sharp points were observed remaining on the playground following water play the day before. Also on the playground, one metal toy traffic sign was observed to be rusting. 10A NCAC 09 .0601(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The file for one staff member rehired on 9/21/2023 did not contain an updated and complete record of staff orientation. .1101(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go File. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for an employee rehired on 9/21/2023. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The most recent fire inspection was completed on 6/04/2024. Ms. Cynthia Dunston stated she reached out to the fire marshal’s office via email in early June to schedule the inspection; she stated during today’s visit the inspector returns to the office from vacation this Friday, 6/27/2025 and will reach out to her regarding her fire inspection. It is important for all safety inspections to be completed on time to ensure the safety of all children enrolled. You may consider beginning this process at least one month in advance. A record of staff orientation for one employee rehired on 9/21/2023 was not observed to be updated and complete. A certification of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for this employee. It is important for all staff records to be current and accurate for the health, safety, and quality of care of children enrolled. Due to the staff member being part time and uncompensated, Ms. Dunston stated she thought she was supposed to follow the Volunteer File Checklist at this time, as opposed to the Substitute File Checklist. We discussed during the visit that while this staff member is an uncompensated staff member, she must have all documents required for a substitute on file, due to being counted in staff: child ratio. Consultation Provided During Visit: Please monitor the playground for equipment beginning to rust and for plastic weed block emerging on the playground. The children were not observed to used this outdoor space during today's visit. A physical copy of the NC Foundations resource was provided to the center during the visit. When a parent updates the “valid dates to and from section” on a topical medication ointment permission form, please have the parent make this correction beneath the space provided, and initial the change. The expiration date section is solely for when the medication itself expires. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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 .0304 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: VACANT TEAM 2 Operation Type: Center Case Number: Visit Date: 6/26/2025 Number Present: 12 Completed Date: 6/26/2025 Age: From 1 To 5 Total Minutes: 189 Time In: 09:21 AM Time Out: 12:30 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. This visit was conducted with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, playing outdoors, and eating lunch during the visit. Two new staff members were reported at this program. The files for these staff members were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 6/16/2025. A fire drill was recorded 6/16/2025. The most recent shelter-in-place drill for the facility was recorded 4/17/25. The most recent fire inspection was on 6/04/2024. I observed a sanitation inspection was last conducted on 3/27/2025 earning a Superior classification. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 6/04/2024. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground accessed by children of all ages, plastic sprinkler spikes with greater than three sharp points were observed remaining on the playground following water play the day before. Also on the playground, one metal toy traffic sign was observed to be rusting. 10A NCAC 09 .0601(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. The file for one staff member rehired on 9/21/2023 did not contain an updated and complete record of staff orientation. .1101(a) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency contact information for one new staff member was not observed in the Ready to Go File. .0607(d)(10) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for an employee rehired on 9/21/2023. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: The most recent fire inspection was completed on 6/04/2024. Ms. Cynthia Dunston stated she reached out to the fire marshal’s office via email in early June to schedule the inspection; she stated during today’s visit the inspector returns to the office from vacation this Friday, 6/27/2025 and will reach out to her regarding her fire inspection. It is important for all safety inspections to be completed on time to ensure the safety of all children enrolled. You may consider beginning this process at least one month in advance. A record of staff orientation for one employee rehired on 9/21/2023 was not observed to be updated and complete. A certification of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment was not observed on file for this employee. It is important for all staff records to be current and accurate for the health, safety, and quality of care of children enrolled. Due to the staff member being part time and uncompensated, Ms. Dunston stated she thought she was supposed to follow the Volunteer File Checklist at this time, as opposed to the Substitute File Checklist. We discussed during the visit that while this staff member is an uncompensated staff member, she must have all documents required for a substitute on file, due to being counted in staff: child ratio. Consultation Provided During Visit: Please monitor the playground for equipment beginning to rust and for plastic weed block emerging on the playground. The children were not observed to used this outdoor space during today's visit. A physical copy of the NC Foundations resource was provided to the center during the visit. When a parent updates the “valid dates to and from section” on a topical medication ointment permission form, please have the parent make this correction beneath the space provided, and initial the change. The expiration date section is solely for when the medication itself expires. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. 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. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/9/2024 Number Present: 21 Completed Date: 12/9/2024 Age: From 0 To 5 Total Minutes: 195 Time In: 09:00 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart and Jennifer Davis, Childcare Consultants with Cynthia Dunston, Owner. Your program currently operates with a 4-Star license. Restrictions include 1st and 2nd shift care, children in care on ground level only, and meets enhanced ratios. The Secretary of State website was monitored on 12/08/2024, and Discovering Our World Child Development Center, L.L.C. was listed as Current/ Active. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 82% 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. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities their teachers and participating in general routines during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 12/20/2023. A sanitation inspection was completed during today's visit with a Superior classification. The last fire inspection was conducted on 6/04/2024. Program records and required postings were monitored. A fire drill was conducted on 11/01/2024. The most recent lockdown drill was documented on 7/31/2024. An outdoor inspection was documented on 11/26/2024. Staff files and children’s records were monitored per DCDEE procedures. Two new staff were reported at the program. The file for one existing staff member was monitored during the visit. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Ms. Dunston stated the program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. 10A NCAC 09 .0713(a)(6) 428 A current activity plan was not posted for each group of children for reference. An activity plan was not observed to be posted for children of School Age in Space 3. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. 10A NCAC 09 .0601(a) 848 Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional. The diaper creams for two children enrolled did not have a medication authorization form on file. 10A NCAC 09 .0803(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not observed on file for one new employee whose employment date was 12//04/2024. 10A NCAC 09 .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. .0604(u);.0302(d)(8) 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. The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 12/23/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: The file for one existing staff member did not contain a training certificate for Administration of Medication with standards for parental consent. A medical report was not observed on file for one new employee whose employment date was 12//04/2024; Ms. Dunston stated the employee has an appointment scheduled for 12/17/2024. The most recent shelter-in-place/ lockdown drill had not been completed 7/31/24. It is important for all required forms and files to be completed to ensure necessary information is available to staff at all times during the facility’s operating hours for children enrolled. Ms. Dunston stated she was unaware these records were not complete or on file, but that she will update all information as quickly as possible. You may consider developing a system for monitoring all trainings, new employee files, and drills so they remain current. An activity plan was not observed to be posted for children of School Age in Space 3; a current lesson plan was posted during the visit. Upon entering Space 2, I observed seven (7) children, one to three years of age, being supervised by a staff member. Ms. Dunston stated the only three-year-old in the classroom turned three years of age yesterday. I stated to Ms. Dunston children between the ages of 12 months and 24 months may not be grouped with older children unless all children in the group are less than three years of age and staff members. During the visit, the one child three years of age was transitioned to the room designated for children three years of age to School Age. In Space 2, a plastic bin of foam blocks (at least three of which were observed to have teeth marks) was accessible to children one and two years of age. The staff member made this bin inaccessible during the visit. Plastic weed block was observed emerging from the mulch in greater than three areas; Ms. Dunston trimmed and covered all this weed block during the visit. Each of these items could be a potential choking hazard. A plastic and metal toy STOP sign was observed to be cracked and rusting; this STOP sign was removed from the playground during the visit. On the playground used by children ages of all ages served, greater than three foam pool noodles (used as a play water flow activity for children) were observed to be torn and breaking down; these noodles were removed from the outdoor environment during the visit. This could be a potential choking hazard. You may consider using PVC pipe or other plastic piping when you recreate this water flow play system for the children. The diaper creams for two children enrolled did not have a medication authorization form on file. Staff members stated one child no longer needs/uses this cream; Ms. Dunston removed this from the classroom to send home during the visit. The other child's medication authorization form was completed during the visit and signed by the parent. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c ) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. 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. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2818 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 24 Completed Date: 7/1/2024 Age: From 0 To 5 Total Minutes: 80 Time In: 11:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced An unannounced follow-up visit was conducted at this childcare center to monitor staff/child ratios after a violation was cited during a Routine Unannounced visit on 6/26/2024. Today’s visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions The license was observed, and the restrictions were found in compliance. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Upon arrival to Space 1, three (3) infants and four (4) children one year of age were observed in the classroom during nap time with one staff member. The staff member present stated the other staff member was taking a lunch break. The staff member returned to the classroom less than ten minutes after I visited Space 1. Supervision was adequate during the visit. The following violations were cited during the visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. Upon arrival to Space 1, three (3) infants and four (4) children one year of age were observed in the classroom during nap time with one staff member. 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2820 STORAGE states Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. The door to the kitchen of the facility, observed to contain items labeled Keep Out of Reach of Children with Additional Warnings, was observed to be propped open by a folding table. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/15/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. An unannounced follow-up visit will be conducted to monitor supervision requirements. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance provided during today’s visit: Upon arrival to Space 1, three (3) infants and four (4) children one year of age were observed in the classroom during nap time with one staff member. The staff member present stated the other staff member was taking a lunch break. The staff member returned to the classroom less than ten minutes after I visited Space 1. It is critical for staff: child ratio for infants and children one year of age to be met at all times to ensure the health and safety of children enrolled. The owner was staffing another classroom during my visit and stated she was unaware two additional children had arrived. I discussed Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) with Ms. Dunston during the visit. You may consider developing a system to communicate when a classroom is preparing to be out of ratio, either so you are able to ensure another staff member can be available to assist in the classroom, or breaks can be rearranged for that day to maintain required staff: child ratios. The door to the kitchen of the facility, observed to contain items labeled Keep Out of Reach of Children with Additional Warnings, was observed to be propped open by a folding table during the visit. The owner stated the door is normally locked, and the door was closed and locked during the visit. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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 .0802 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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 .1003 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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 .2818 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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 .2820 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/26/2024 Number Present: 27 Completed Date: 6/26/2024 Age: From 0 To 6 Total Minutes: 273 Time In: 09:42 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Cynthia Dunston, Owner. Lyndsey Dunston, Director, was present during the visit as well. Your program currently operates with a 4-Star license effective 1/24/2018. Restrictions include 1st and 2nd shift care, meets enhanced ratios, and children in care on ground level only. The program’s compliance history was 85% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. When I arrived at the program, (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member in Space 3. Ms. Dunston remained in the classroom with the staff member for the remainder of the visit. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in water play with their teachers, participating in general routines, eating lunch, and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 6/05/2024. A fire drill was recorded 5/24/2024. A lockdown drill for the facility was recorded 4/29/2024. The most recent fire inspection was on 6/06/2024. I observed a sanitation inspection was last conducted on 3/14/2024 earning a Superior classification. The program does not currently transport children enrolled. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed inside two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection for January, 2024 was unable to be located during the visit. .0605(q) 1756 Enhanced staff/child ratios and group sizes were not met. In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. 10A NCAC 09 .2818 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan was last updated on 3/08/2023. .0607(e) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 7/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. Technical Assistance Provided During Visit: • In Space 1, a classroom caring for infants and toddlers, one plastic wrapper with construction paper inside and one plastic bag was observed two unlatched drawers located less than five feet from the ground. In Space 2, a classroom caring for children two and three years of age, one plastic wrapper with bulletin board decorations inside and one plastic bag was observed in two unlatched drawers located less than five feet from the ground. The teachers disposed of each of these plastic bags during the visit. On the playground used by children younger than three years of age, plastic weed block was observed emerging from the rubber mulch in five areas, presenting a potential choking hazard. Ms. Dunston stated fifty (50) bags of rubber mulch had been purchased recently and delivered to the facility for the purpose of covering this emerging weed block, but that multiple bags were stolen from the property while she was out of town. On the playground, the plastic handle of a toy was observed to be broken and sharp to the touch. This item was disposed of during the visit. A hole six inches long, four inches wide, and 3.5 inches deep was observed in the grass toward the back right side of the playground. Ms. Dunston stated she was unaware this hole was present on the playground. It is extremely important for indoor and outdoor learning environments to be safe for the exploration of young children at all times. You may consider monitoring the indoor and outdoor environment for potential hazards daily prior to children's arrival. • In Space 3, two (2) children three years of age, eight (8) children four years of age, and one child of School Age were observed in the classroom with one staff member. It is imperative for the safety of young children that required staff/child ratios be followed at all times. The owner and staff member in the classroom stated they just had a child transition into the classroom from a younger age group, and she was not thinking about this. She also stated that a School Age child attended today who typically does not attend. She further stated even when this classroom is in ratio with 1:10, another staff member is often present in the classroom as an extra support. The director transitioned one child to Space 2 as soon as she was made aware of the issue. I reviewed the facility’s permit restrictions, requirements for group size for the facility, and Child Care Rule 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (c ) with Ms. Dunston during the visit. • The current Emergency Preparedness and Response Plan was available for review, but had not been updated since 3/08/2023. The EPR Plan was updated, printed, and placed on file during the visit. • A playground inspection for the month of January, 2024, was not available for review. Ms. Dunston stated she was not aware this inspection was not on file, as all inspections for 2023 and 2022 were present in the binder as well. It is important to ensure all required inspections are completed when due and a copy maintained on file to ensure the health and safety of children enrolled. You may consider reviewing required emergency drill and inspection logs quarterly to ensure all inspections have been completed and placed on file for review to date. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: • 10A NCAC 09 .1003 SAFE PROCEDURES (b) • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) (b) - 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) • 15A NCAC 18A .2820 STORAGE (b)(g) • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) • Please always document that an infant is laid down for nap on his/her back, even if the infant immediately rolls over to his/her stomach. The infant’s new adopted sleep position can be recorded during the next sleep check. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@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: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0515 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: DISCOVERING OUR WORLD CHILD DEVELOPMENT CENTER LLC Facility ID: 34001156 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 12/20/2023 Number Present: 23 Completed Date: 12/20/2023 Age: From 0 To 4 Total Minutes: 455 Time In: 09:10 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Cynthia Dunston, Owner, and Lyndsey Walton, Director, assisted me with the visit. Your program currently operates with a four-star license, issued January 24, 2018, earning 4 points in the education component, 5 points in the program standards component (meeting enhanced ratios) and 1 quality point for the center having enhanced policies approved and an infrastructure of parent involvement. The Secretary of State website was reviewed on 12/18/2023, and Discovering Our World CDC, LLC was observed to be listed as current and active. The sanitation inspection was completed 8/01/2023 with a “Superior” classification. A fire inspection was completed on 6/21/2023, and the facility was approved for day and night care. The center's compliance history was reviewed with the operator. The program’s compliance history was 93 % as of December 7, 2023. All programs are required to maintain 75% compliance. Upon arrival, the license was posted, and restrictions were observed to be in compliance. Three classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched; the cupboard beneath the diaper table was latched during the visit. In Space 1, one open jar and one open plastic container of baby food were observed to not be labeled with the child’s name and date. A staff member labeled and dated these containers during the visit. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Ms. Dunston removed the cone and disposed of it during the visit. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. Ms. Dunston trimmed the weed block and covered each area with mulch during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed the children playing in activity areas, participating in general routines, engaging in conversations, songs, and activities with their teachers, and eating lunch during the visit. An allergy list was posted. Storage of hazardous items was monitored. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care; Ms. Dunston placed these wipes into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary or environmental allergies. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. This medication was discarded during the visit. First Aid kits were monitored, and Safe Arrival and Departure procedures were posted. The program does not participate in off-premise activities or aquatic activities at this time. A staff training worksheet was submitted prior to the visit; the file for one existing staff member and three new staff members were monitored. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. Children’s Records forms were completed during the visit. The files for four children enrolled were monitored. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 11/14/2023. A lockdown drill was completed on 10/31/2023. A playground inspection was completed on 11/13/2023. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. Ms. Dunston corrected this during the visit. 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. The feeding plan for one infant enrolled was not signed by a parent. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a diaper table with plastic bags stored underneath was observed to be unlatched. On the playground, one toy traffic cone was observed to be cracked and sharp to the touch in several places. Plastic weed block was observed emerging from the mulch surfacing in four different areas of the playground used by children under three years of age. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Three packages of Swiffer Floor wipes were observed in an unlocked desk drawer just inside the area designated for child care. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The topical prescription medication for one child enrolled in Space 1 was observed to have expired in 10/2023. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. 10A NCAC 09 .0701(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. 10A NCAC 09 .0515(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization record was not observed on file for one child enrolled. The parent of this child completed a written statement of religious beliefs and opposition to the immunization requirements, and it was placed on file during the visit. 10A NCAC 09 .0302(d)(2) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not contain the application for one child enrolled and the staff contact information for one staff member. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental or allergies. .0801(b) 1898 Staff did not complete the health and safety training within one year of employment. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. .1102(a) 9995 A violation was found for which there is no item number. Child Care Sanitation Rule 15A NCAC 18A .2804 FOOD SUPPLIES (d) states all human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below, and (g) states that after opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. Baby food may be served directly from the jar to one child if unused portions of the food are discarded after each feeding; otherwise, commercially prepared baby foods shall be served from a serving dish rather than the food jar. Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/03/2023. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: • GS110-91(1) • 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS • 10A NCAC 09 .0515 PARENT PARTICIPATION • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) • 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Ms. Dunston stated she and her daughter have had to spend a majority of their time in a classroom recently due to a staffing shortage; as a result, she stated she has been behind on updating paperwork. The infant feeding plan for one child enrolled in Space 1 was observed to not have been signed by a parent. The medication action plan for one prescription inhaler for a child enrolled in Space 3 did not have the child's diagnosis or diagnoses including dietary, environmental allergies. A medical statement for one new employee who began work on 4/24/2023 was completed on 4/28/2023. The certificate for Health and Safety training topic #2 Administration of medication, with standards for parental consent, was not observed on file for one existing employee. The medical assessment for one child enrolled on 6/13/2022 was not completed until 8/19/2022. A signed receipt of the Parent Participation Plan was not on file for one child enrolled. I recommended Ms. Dunston set a regular schedule to review new and existing staff files, as well as children’s files, to ensure all required documentation is on file, as well as setting calendar reminders for upcoming documentation due dates. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Dunston during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS 10A NCAC 09 .0510 ACTIVITY AREAS 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. Please be reminded your facility is in Cohort One. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were emailed to you. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times