Easton Elementary Pre-K Program

10A NCAC 09 .3009 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 21 Completed Date: 1/7/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 602 and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal and Lead Teacher, Veronica Viteri. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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 with their teachers, and eating lunch 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 1/15/2025. A sanitation inspection was completed 11/20/25 with a Superior classification. The last fire inspection was conducted on 9/25/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/17/2025. A lockdown drill was documented on 12/17/2025. An outdoor inspection was documented on 12/19/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were monitored during the visit. The file for one short-term substitute could not be fully monitored today as the file was available, but largely incomplete. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Ms. Levenson state she had a virtual meeting this morning during my visit with Smart Start of Forsyth County to review the completed and submitted NC Pre-K Program Site Monitoring Tool for the facility. She shared she would email me a copy of this completed tool once Smart Start signs and returns it to her. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Veronica Viteri, short-term substitute, Teresa McCloud, and Fiammetta Fairall and teachers, Meyalis Jimenez and Linda Richardson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). .0713(a)(10), (c) & (f)(3); .2818(e) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute; a valid CBC Qualification was verified in the ABCMS system dated 11/13/24 and expiring 11/13/29. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. G.S. 110-90.2 & .2703(r) 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 drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/21/2026. 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 4948 Martin View Lane, 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: A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal, K. Levenson. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. It is imperative that a current Criminal Record Check qualifying letter be on file for all staff members at all times for the safety of children enrolled. It is additionally necessary for all staff CBC qualifying letters to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. You may also consider creating a calendar reminder for all new staff CBC qualification letters to be connected to the facility’s ABCMS profile within five days of hire. The most recent shelter-in-place/ lockdown drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. A Substitute Staff File checklist was provided to Ms. Levenson and Ms. Viteri during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d Consultation Provided During Visit: Please submit documentation to DCDEE Works for Linda Richardson. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Also, ensure Ms. Richardson is added to the NCPK Plan. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ WSFCS Administrators should also be added to the Public School Offsite Records Verification form for Staff. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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

G.S. 110-90 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 21 Completed Date: 1/7/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 602 and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal and Lead Teacher, Veronica Viteri. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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 with their teachers, and eating lunch 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 1/15/2025. A sanitation inspection was completed 11/20/25 with a Superior classification. The last fire inspection was conducted on 9/25/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/17/2025. A lockdown drill was documented on 12/17/2025. An outdoor inspection was documented on 12/19/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were monitored during the visit. The file for one short-term substitute could not be fully monitored today as the file was available, but largely incomplete. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Ms. Levenson state she had a virtual meeting this morning during my visit with Smart Start of Forsyth County to review the completed and submitted NC Pre-K Program Site Monitoring Tool for the facility. She shared she would email me a copy of this completed tool once Smart Start signs and returns it to her. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Veronica Viteri, short-term substitute, Teresa McCloud, and Fiammetta Fairall and teachers, Meyalis Jimenez and Linda Richardson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). .0713(a)(10), (c) & (f)(3); .2818(e) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute; a valid CBC Qualification was verified in the ABCMS system dated 11/13/24 and expiring 11/13/29. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. G.S. 110-90.2 & .2703(r) 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 drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/21/2026. 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 4948 Martin View Lane, 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: A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal, K. Levenson. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. It is imperative that a current Criminal Record Check qualifying letter be on file for all staff members at all times for the safety of children enrolled. It is additionally necessary for all staff CBC qualifying letters to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. You may also consider creating a calendar reminder for all new staff CBC qualification letters to be connected to the facility’s ABCMS profile within five days of hire. The most recent shelter-in-place/ lockdown drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. A Substitute Staff File checklist was provided to Ms. Levenson and Ms. Viteri during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d Consultation Provided During Visit: Please submit documentation to DCDEE Works for Linda Richardson. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Also, ensure Ms. Richardson is added to the NCPK Plan. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ WSFCS Administrators should also be added to the Public School Offsite Records Verification form for Staff. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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

G.S. 110-91 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 21 Completed Date: 1/7/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 09:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 602 and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal and Lead Teacher, Veronica Viteri. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 88% 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 with their teachers, and eating lunch 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 1/15/2025. A sanitation inspection was completed 11/20/25 with a Superior classification. The last fire inspection was conducted on 9/25/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/17/2025. A lockdown drill was documented on 12/17/2025. An outdoor inspection was documented on 12/19/2025. Staff files and children’s records were monitored per DCDEE procedures. The files for one new staff member and one existing staff member were monitored during the visit. The file for one short-term substitute could not be fully monitored today as the file was available, but largely incomplete. The files for three children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled was reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. Ms. Levenson state she had a virtual meeting this morning during my visit with Smart Start of Forsyth County to review the completed and submitted NC Pre-K Program Site Monitoring Tool for the facility. She shared she would email me a copy of this completed tool once Smart Start signs and returns it to her. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Veronica Viteri, short-term substitute, Teresa McCloud, and Fiammetta Fairall and teachers, Meyalis Jimenez and Linda Richardson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). .0713(a)(10), (c) & (f)(3); .2818(e) 1041 Prior to employment a Criminal Background Check was not completed. A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute; a valid CBC Qualification was verified in the ABCMS system dated 11/13/24 and expiring 11/13/29. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. G.S. 110-90.2 & .2703(r) 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 drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/21/2026. 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 4948 Martin View Lane, 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: A Criminal Background Check Qualification letter was not observed on file for the Assistant Principal, K. Levenson. A physical copy of the CBC Qualification letter was not observed on file for one short-term substitute. The Assistant Principal and all lead teachers and teacher assistants were not observed to have their CBC Qualification Letters linked to the ABCMS system. It is imperative that a current Criminal Record Check qualifying letter be on file for all staff members at all times for the safety of children enrolled. It is additionally necessary for all staff CBC qualifying letters to be linked to the center’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. You may also consider creating a calendar reminder for all new staff CBC qualification letters to be connected to the facility’s ABCMS profile within five days of hire. The most recent shelter-in-place/ lockdown drills were completed on 3/05/2025, 9/26/25, and 12/17/25, respectively. The file for one short-term substitute was observed to be largely incomplete with at least 15 required documents unavailable for review. The training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment for one new staff member with a start date of 8/04/25 was not observed on file for review. The permission to administer medication form for one child enrolled with an emergency medication did not include the chronic medical condition. The Staff: Child Ratio Worksheet was not observed posted in Space 2 (Room 602). It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. A Substitute Staff File checklist was provided to Ms. Levenson and Ms. Viteri during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d Consultation Provided During Visit: Please submit documentation to DCDEE Works for Linda Richardson. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Also, ensure Ms. Richardson is added to the NCPK Plan. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ WSFCS Administrators should also be added to the Public School Offsite Records Verification form for Staff. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In October, 2025, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov 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

G.S. 110-90 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 0 Completed Date: 6/2/2025 Age: From 0 To 0 Total Minutes: 95 Time In: 09:55 AM Time Out: 11:30 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 Kristine Levenson, Assistant Principal and Laquetta Williams, WSFCS Licensing Specialist. Your program currently operates with a 5-Star license effective 5/13/2020. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The facility was in operation today for staff, but no children were present during the visit. 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. No new staff members were reported during the visit. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent fire inspection was on 9/04/2024. I observed a sanitation inspection was last conducted on 4/21/2025 earning a Superior classification. 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 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 6/15/25. 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 Visit: A facility profile for Criminal Background Checks had not been created; hence, staff CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the center's facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Williams stated a facility profile will be created today. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: Mrs. Levenson stated she is planning to enhance the outdoor learning environment, beginning this summer. She confirmed she will reach out to me to review these enhancements prior to moving forward with plans for this space. Please monitor the door frames of the classrooms facing the outdoor learning environment for cracking, peeling paint. 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

NC GS 110-90 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: 0325-228L Visit Date: 4/7/2025 Number Present: 39 Completed Date: 4/7/2025 Age: From 4 To 5 Total Minutes: 75 Time In: 10:45 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up complaint visit was to follow up regarding alleged violations of childcare requirements regarding inappropriate discipline and to finalize the complaint. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Alis Mulero, Principal, and Kristine Levenson, Assistant Principal. The allegation is as follows: There are concerns of inappropriate discipline in a classroom for four year old children. Your program currently operates with a 5-Star license effective 5/13/2020. Restrictions include 1st shift care, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. 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: • Capacity • Adequate / Approved Space • License Posted • General License Requirements There are concerns of inappropriate discipline in the classroom for children four years of age. During today’s visit, Space 3 (Room 601), was not in use, due to a staffing shortage. The children enrolled in this space are now permanently enrolled in care across Spaces 4, 2, and 1 (Rooms 600, 602, and 604, respectively) for the remainder of the school year. Based upon staff interviews and collateral information, the allegation reported to occur on 3/06/2025 could not be confirmed. Per staff interviews, the lead teacher assigned to Space 3 (Room 601) has been observed yelling at more than one child on three occasions (based upon two interviews), has cursed at a child one time, has used threatening language with a child one time (told a child who had accidentally hit another child with a toy bat she would beat him with the bat), has called one child “dumb” and “stupid”, and has physically grabbed two children by the arm using force on separate occasions. The following violation was cited during today’s visit: Violation Number Comment Rule 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. The lead teacher assigned to Space 3 (Room 601) has been observed yelling at more than one child on three occasions (based upon two interviews), has cursed at a child one time, has used threatening language with a child one time (told a child who had accidentally hit another child with a toy bat she would beat him with the bat), has called one child “dumb” and “stupid”, and has physically grabbed two children by the arm using force on separate occasions. .1803(a)(9) 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. 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 requirements for appropriate discipline. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 4/21/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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. Technical Assistance Provided During Today's Visit: The lead teacher assigned to Space 3 (Room 601) has been observed yelling at more than one child on three occasions (based upon two interviews), has cursed at a child one time, has used threatening language with a child one time (told a child who had accidentally hit another child with a toy bat she would beat him with the bat), has called one child “dumb” and “stupid”, and has physically grabbed two children by the arm using force on separate occasions. It is critical that discipline is focused around positive redirection, facilitating the learning of problem-solving skills, and age and developmentally appropriate. Please review the contents of your WSFCS NC Pre-K policy for discipline with all staff who work with children enrolled in NC Pre-K. This HELPLINE will offer guidance to teachers and providers dealing with challenging behaviors as soon as they need the support and assistance. Please see link below and attached flyer: https://mailchi.mp/c698573cdce8/newsblast-for-ccrrs-in-north-carolina-6227800?e=0157f79327 Consultation Provided and/or Topics Discussed During Today’s Visit: Ms. Mulero and Ms. Levenson stated Professional Learning Team meetings and Coaching sessions have been in the planning stages since 2/11/2025 regarding ECERS requirements and unit content; administrators stated the Instructional Coaches are currently completing work with another site and will reconvene once this work has been completed. Ms. Levenson also stated she has been conducting in-person classroom observations of all NC Pre-K classrooms and staff since my visit conducted on 3/28/2025. Additionally, both administrators stated a meeting was held with all NC Pre-K staff on 3/29/2025 to review mandated reporting rules and requirements. 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 .0901 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 .1003 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 .3009 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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

G.S. 110-102 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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

G.S. 110-90 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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

G.S. 110-91 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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

GS110-91 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/15/2025 Number Present: 32 Completed Date: 1/15/2025 Age: From 4 To 5 Total Minutes: 435 Time In: 09:45 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 600, 601, 602, and 604 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Kristine Levenson, Assistant Principal. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. 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 with their teachers, and eating lunch 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 1/18/2024. A sanitation inspection was completed 4/26/2024 with a Superior classification. The last fire inspection was conducted on 9/04/2024. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 12/19/2024. A lockdown drill was documented on 12/10/2024. An outdoor inspection was documented on 12/19/2024. Staff files and children’s records were monitored per DCDEE procedures. The files for one existing staff member was monitored during the visit. The files for three short- or long- term substitutes could not be monitored today. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Levenson stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo and SeeSaw to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today, and Ms. Levenson stated it has been submitted back to the NCPK contractor. Ms. Levenson shared she would email me a copy of this completed tool once she locates a copy. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Aquilla Boyd, Stephanie Brawley, Veronica Viteri, and Fiammetta Fairall and teachers, Sheila Cunningham, Tiffany Sharpe (long-term substitute), Meyalis Jimenez, and Paula Withers. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 5/13/2020 was 5.11. The following violations were cited during today’s visit: Violation Number Comment Rule 115 A summary of the NC Child Care Law was not posted in a prominent place in the center. A NC Summary of Child Care Law was not observed to be posted in Room 602. G.S. 110-102 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602. 10A NCAC 09 .0901(b) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. 10A NCAC 09 .0901(b) 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. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. G.S. 110-91( 9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical health assessment for one child enrolled in Room 604 was not on file within 30 days of enrollment; the child enrolled in September, and the assessment was completed in November. GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check Qualification letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A developmental screening was not observed on file for one child enrolled. .3006(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. .0801(b) 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 medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. .0801(b) 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. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/29/2025. 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: A Criminal Background Check Qualification letter was not observed on file for one substitute staff member; verification of qualification for employment was observed for this substitute in the ABCMS system. The file for one long-term and one short-term substitute were not available during the visit, and the file for one short-term sub was available, but largely incomplete. Building Your Own Pizza, roasted carrot fries, chilled pears, and milk were recorded on the menu for lunch today; chicken nuggets, a roll, zucchini, diced peaches, and milk were served to the children, but substitutions were not recorded on the menu prior to meal service. Health & Safety Training topic numbers 8 (Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment) and 10 (Recognizing and reporting child abuse, child neglect, and child maltreatment) were not observed on file for one existing employee. A developmental screening was not observed on file for one child enrolled. A medical health assessment was not observed on file for one child enrolled within 30 days after enrollment. A permission to administer medication form was not observed on file for one child enrolled with an emergency medication. The medical action plan for one child enrolled with an emergency medication did not contain the name of the medication to be administered on an emergency basis with symptoms and instructions. The medical action plan for one child enrolled with an emergency inhaler was not observed on file for review. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Levenson stated she was not aware these forms were not accurate or that they were not on file or posted; she also stated staff may have been unsure as to what documents were required to be on file for substitute staff. A Substitute Staff File checklist was provided to Ms. Levenson during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring staff and substitute files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d A snack menu was not observed to be posted in any of the classrooms, and a breakfast menu was not observed to be posted in Room 602; these menus were posted during the visit. A NC Summary of Child Care Law was not observed to be posted in Room 602; this was posted on the bulletin board in the main hallway during the visit. A box of alcohol swabs labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground in Room 601, but in unlocked storage; these swabs were placed into locked storage during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Levenson during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) Please submit Principal’s Licensure documentation to DCDEE Works for Alis Mulero. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please complete the posted Staff: Child Ratio Worksheet posted in Room 602. Consider adding additional art materials to the art center in Room 600. I provided Ms. Levenson with a Preservice Requirements for Administrators and Legal Designee form during the visit. Ms. Levenson stated she would ask Ms. Mulero and Ms. Laquetta Williams, WSFCS Licensing Specialist, to complete each of the forms, respectively, and submit them to me once completed. You can access the training for Recognizing & Responding to Suspicions of Child Abuse and Maltreatment at the following link: https://www.preventchildabusenc.org/online-trainings/ 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 49 Completed Date: 1/18/2024 Age: From 4 To 5 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 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 NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Veronica Viteri, lead teacher. Your program currently operates four classrooms with a five-star license issued 5/13/20. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. Staff reported that children had a fashion show in the hallway today as part of their “Clothing” theme. I observed children in all classrooms using a variety of indoor activity areas and having group time. Lunch consisted of hamburger on bun, tropical fruit, green beans, and milk. The last annual compliance visit was conducted 1/26/23. A sanitation inspection was conducted 11/16/23 with a Superior classification. The last fire inspection was conducted 9/6/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 12/11/23 and an emergency lockdown drill on 9/22/23. (You are due for an emergency drill this month). A playground inspection was last completed on 12/15/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in locked cabinets in the classrooms. I observed emergency medications in locked storage and discussed that these medications must be easily accessible at all times with no barriers. None of the children are transported by bus to and/ or from school daily. Parents are responsible for transporting their children to and from school. NC Pre-K requirements were monitored as follows: The program operates from 7:40 until 2:10 pm, 6-1/2 hours per day, Monday through Friday, 10 months per year. You offer three parent/teacher conferences per year. You use Class Dojo and face to face communication with parents. You also send home a Tuesday flyer and communicate by phone as needed. By way of parent participation, you conduct home visits or an individual parent meeting, open house, orientation, and you send home parent projects throughout the school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. You stated the NC Pre-K site monitoring tool has been completed and is maintained electronically. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Lead teachers have a NC B-K license. You stated you have a new principal, Alice Murero. I agreed to provide you with the Pre-service form for the principal to complete and return to me. She will also need to set up a WORKS account if this is her first time working in a school with Pre-K. I monitored four (4) children’s files for completed screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In two classrooms, children's times were not documented when they arrived to the classrooms this morning. 10A NCAC 09 .0302(d)(4) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A lunch sent from the cafeteria for a four year old child did not include the vegetable component. 10A NCAC 09 .0901(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A child-sized chair in room 601 had a cracked seat. .0601(c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in fall zones of playground equipment measured less than the required six inches. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's epi pen was not in the box and did not include an expiration date. .0803(2)(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 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 February 1, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Rated License • Your facility is in Cohort 2 to resume the rated license assessment meaning your preparation year will begin this coming July 1, 2024 through June 30, 2025. • Suggested activities during your preparation year include make sure all staff have an up-to-date WORKS account, • decide whether or not you will request the Environment Rating Scale to maintain your points in the program component of the rated license; • encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; • request technical assistance from local partners; • if staff members need to take additional college coursework to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; • review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. • Your actual assessment year will be July 1, 2025 through June 30, 2026. Emergency Medications: I observed emergency medications in three classrooms in locked cabinets. These medications should not be locked but must be kept at least five feet off the floor and quickly accesseible when needed with no barriers. Ms. Viteri stated staff can begin keeping the emergency meds in the to-go bag where first aid supplies are stored. First Aid training - documentation for first aid for two staff was not available for review. Both staff were said to have taken first aid with CPR - one in October 2022 and the other in November 2022. You agreed to contact the trainers and provide me with copies to verify compliance with first aid by February 1, 2024. At the completion of today’s visit, this visit summary was reviewed with Veronica Viteri from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 49 Completed Date: 1/18/2024 Age: From 4 To 5 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 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 NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Veronica Viteri, lead teacher. Your program currently operates four classrooms with a five-star license issued 5/13/20. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. Staff reported that children had a fashion show in the hallway today as part of their “Clothing” theme. I observed children in all classrooms using a variety of indoor activity areas and having group time. Lunch consisted of hamburger on bun, tropical fruit, green beans, and milk. The last annual compliance visit was conducted 1/26/23. A sanitation inspection was conducted 11/16/23 with a Superior classification. The last fire inspection was conducted 9/6/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 12/11/23 and an emergency lockdown drill on 9/22/23. (You are due for an emergency drill this month). A playground inspection was last completed on 12/15/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in locked cabinets in the classrooms. I observed emergency medications in locked storage and discussed that these medications must be easily accessible at all times with no barriers. None of the children are transported by bus to and/ or from school daily. Parents are responsible for transporting their children to and from school. NC Pre-K requirements were monitored as follows: The program operates from 7:40 until 2:10 pm, 6-1/2 hours per day, Monday through Friday, 10 months per year. You offer three parent/teacher conferences per year. You use Class Dojo and face to face communication with parents. You also send home a Tuesday flyer and communicate by phone as needed. By way of parent participation, you conduct home visits or an individual parent meeting, open house, orientation, and you send home parent projects throughout the school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. You stated the NC Pre-K site monitoring tool has been completed and is maintained electronically. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Lead teachers have a NC B-K license. You stated you have a new principal, Alice Murero. I agreed to provide you with the Pre-service form for the principal to complete and return to me. She will also need to set up a WORKS account if this is her first time working in a school with Pre-K. I monitored four (4) children’s files for completed screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In two classrooms, children's times were not documented when they arrived to the classrooms this morning. 10A NCAC 09 .0302(d)(4) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A lunch sent from the cafeteria for a four year old child did not include the vegetable component. 10A NCAC 09 .0901(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A child-sized chair in room 601 had a cracked seat. .0601(c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in fall zones of playground equipment measured less than the required six inches. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's epi pen was not in the box and did not include an expiration date. .0803(2)(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 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 February 1, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Rated License • Your facility is in Cohort 2 to resume the rated license assessment meaning your preparation year will begin this coming July 1, 2024 through June 30, 2025. • Suggested activities during your preparation year include make sure all staff have an up-to-date WORKS account, • decide whether or not you will request the Environment Rating Scale to maintain your points in the program component of the rated license; • encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; • request technical assistance from local partners; • if staff members need to take additional college coursework to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; • review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. • Your actual assessment year will be July 1, 2025 through June 30, 2026. Emergency Medications: I observed emergency medications in three classrooms in locked cabinets. These medications should not be locked but must be kept at least five feet off the floor and quickly accesseible when needed with no barriers. Ms. Viteri stated staff can begin keeping the emergency meds in the to-go bag where first aid supplies are stored. First Aid training - documentation for first aid for two staff was not available for review. Both staff were said to have taken first aid with CPR - one in October 2022 and the other in November 2022. You agreed to contact the trainers and provide me with copies to verify compliance with first aid by February 1, 2024. At the completion of today’s visit, this visit summary was reviewed with Veronica Viteri from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. 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 .3009 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 49 Completed Date: 1/18/2024 Age: From 4 To 5 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 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 NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Veronica Viteri, lead teacher. Your program currently operates four classrooms with a five-star license issued 5/13/20. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. Staff reported that children had a fashion show in the hallway today as part of their “Clothing” theme. I observed children in all classrooms using a variety of indoor activity areas and having group time. Lunch consisted of hamburger on bun, tropical fruit, green beans, and milk. The last annual compliance visit was conducted 1/26/23. A sanitation inspection was conducted 11/16/23 with a Superior classification. The last fire inspection was conducted 9/6/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 12/11/23 and an emergency lockdown drill on 9/22/23. (You are due for an emergency drill this month). A playground inspection was last completed on 12/15/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in locked cabinets in the classrooms. I observed emergency medications in locked storage and discussed that these medications must be easily accessible at all times with no barriers. None of the children are transported by bus to and/ or from school daily. Parents are responsible for transporting their children to and from school. NC Pre-K requirements were monitored as follows: The program operates from 7:40 until 2:10 pm, 6-1/2 hours per day, Monday through Friday, 10 months per year. You offer three parent/teacher conferences per year. You use Class Dojo and face to face communication with parents. You also send home a Tuesday flyer and communicate by phone as needed. By way of parent participation, you conduct home visits or an individual parent meeting, open house, orientation, and you send home parent projects throughout the school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. You stated the NC Pre-K site monitoring tool has been completed and is maintained electronically. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Lead teachers have a NC B-K license. You stated you have a new principal, Alice Murero. I agreed to provide you with the Pre-service form for the principal to complete and return to me. She will also need to set up a WORKS account if this is her first time working in a school with Pre-K. I monitored four (4) children’s files for completed screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In two classrooms, children's times were not documented when they arrived to the classrooms this morning. 10A NCAC 09 .0302(d)(4) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A lunch sent from the cafeteria for a four year old child did not include the vegetable component. 10A NCAC 09 .0901(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A child-sized chair in room 601 had a cracked seat. .0601(c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in fall zones of playground equipment measured less than the required six inches. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's epi pen was not in the box and did not include an expiration date. .0803(2)(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 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 February 1, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Rated License • Your facility is in Cohort 2 to resume the rated license assessment meaning your preparation year will begin this coming July 1, 2024 through June 30, 2025. • Suggested activities during your preparation year include make sure all staff have an up-to-date WORKS account, • decide whether or not you will request the Environment Rating Scale to maintain your points in the program component of the rated license; • encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; • request technical assistance from local partners; • if staff members need to take additional college coursework to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; • review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. • Your actual assessment year will be July 1, 2025 through June 30, 2026. Emergency Medications: I observed emergency medications in three classrooms in locked cabinets. These medications should not be locked but must be kept at least five feet off the floor and quickly accesseible when needed with no barriers. Ms. Viteri stated staff can begin keeping the emergency meds in the to-go bag where first aid supplies are stored. First Aid training - documentation for first aid for two staff was not available for review. Both staff were said to have taken first aid with CPR - one in October 2022 and the other in November 2022. You agreed to contact the trainers and provide me with copies to verify compliance with first aid by February 1, 2024. At the completion of today’s visit, this visit summary was reviewed with Veronica Viteri from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 1/18/2024 Number Present: 49 Completed Date: 1/18/2024 Age: From 4 To 5 Total Minutes: 310 Time In: 10:50 AM Time Out: 04:00 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 NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Veronica Viteri, lead teacher. Your program currently operates four classrooms with a five-star license issued 5/13/20. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. Staff reported that children had a fashion show in the hallway today as part of their “Clothing” theme. I observed children in all classrooms using a variety of indoor activity areas and having group time. Lunch consisted of hamburger on bun, tropical fruit, green beans, and milk. The last annual compliance visit was conducted 1/26/23. A sanitation inspection was conducted 11/16/23 with a Superior classification. The last fire inspection was conducted 9/6/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 12/11/23 and an emergency lockdown drill on 9/22/23. (You are due for an emergency drill this month). A playground inspection was last completed on 12/15/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in locked cabinets in the classrooms. I observed emergency medications in locked storage and discussed that these medications must be easily accessible at all times with no barriers. None of the children are transported by bus to and/ or from school daily. Parents are responsible for transporting their children to and from school. NC Pre-K requirements were monitored as follows: The program operates from 7:40 until 2:10 pm, 6-1/2 hours per day, Monday through Friday, 10 months per year. You offer three parent/teacher conferences per year. You use Class Dojo and face to face communication with parents. You also send home a Tuesday flyer and communicate by phone as needed. By way of parent participation, you conduct home visits or an individual parent meeting, open house, orientation, and you send home parent projects throughout the school year. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. You stated the NC Pre-K site monitoring tool has been completed and is maintained electronically. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. Lead teachers have a NC B-K license. You stated you have a new principal, Alice Murero. I agreed to provide you with the Pre-service form for the principal to complete and return to me. She will also need to set up a WORKS account if this is her first time working in a school with Pre-K. I monitored four (4) children’s files for completed screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In two classrooms, children's times were not documented when they arrived to the classrooms this morning. 10A NCAC 09 .0302(d)(4) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A lunch sent from the cafeteria for a four year old child did not include the vegetable component. 10A NCAC 09 .0901(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A child-sized chair in room 601 had a cracked seat. .0601(c) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. Mulch in fall zones of playground equipment measured less than the required six inches. .0605(j) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A child's epi pen was not in the box and did not include an expiration date. .0803(2)(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 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 February 1, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: Rated License • Your facility is in Cohort 2 to resume the rated license assessment meaning your preparation year will begin this coming July 1, 2024 through June 30, 2025. • Suggested activities during your preparation year include make sure all staff have an up-to-date WORKS account, • decide whether or not you will request the Environment Rating Scale to maintain your points in the program component of the rated license; • encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; • request technical assistance from local partners; • if staff members need to take additional college coursework to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; • review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. • Your actual assessment year will be July 1, 2025 through June 30, 2026. Emergency Medications: I observed emergency medications in three classrooms in locked cabinets. These medications should not be locked but must be kept at least five feet off the floor and quickly accesseible when needed with no barriers. Ms. Viteri stated staff can begin keeping the emergency meds in the to-go bag where first aid supplies are stored. First Aid training - documentation for first aid for two staff was not available for review. Both staff were said to have taken first aid with CPR - one in October 2022 and the other in November 2022. You agreed to contact the trainers and provide me with copies to verify compliance with first aid by February 1, 2024. At the completion of today’s visit, this visit summary was reviewed with Veronica Viteri from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. 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: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: EASTON ELEMENTARY PRE-K PROGRAM Facility ID: 34000988 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 4 To 4 Total Minutes: 285 Time In: 10:45 AM Time Out: 03:30 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 including NC Pre-K requirements during a routine unannounced visit. Veronica Viteri, Fiammetta Fairall, and Aquilla Boyd, lead teachers assisted me with the visit. An assistant principal, Dr. Nelson, was on site and available to assist as needed. Your program currently operates four classrooms with a five star license effective 5/13/20. Restrictions include daytime care, meets enhanced space, enhanced ratios and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was conducted 8/28/23. A fire drill was last documented 8/31/23 and a shelter-in-place on 5/22/23. The school was closed for the summer in June and July and reopened 8/28/23. You have an emergency drill scheduled for Thursday, September 21st. A fire inspection was conducted 9/6/23 and a copy of the report was received today. I observed a sanitation inspection was last conducted on 1/19/23 earning a Superior classification. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. During this visit, I observed outdoor play, lunch, rest time, pm snack, and dismissal. No medication was observed or reported. Storage of hazardous items was monitored today and are stored in locked cabinets in the classrooms. Two new staff were reported at this program and files reviewed today. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Jessica Merritt, teacher assistant; and Kenya Huntley, substitute teacher worked in two of the Pre-K classrooms today and did not have DCDEE criminal qualification letters. These individuals are not permitted to return to work until they have been qualified. None of the children enrolled at this site ride the public school bus to and from school. Parents are responsible for drop off and pick up. Pre-K Requirements: Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers Fairall, Brawley, Boyd, and Viteri. The principal is Ramona Warren. The staff/child ratio is 1:9 or less. A lead teacher and teacher are assigned to each NCPK class. Your program was monitored today for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The facility uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school for students was August 28, 2023. The classroom operates from 7:40am – 2:15pm. Parent conferences are held two (2) times per year plus a home visit. Ms. Viteri stated WSFCS offers the opportunity for parents to sign up for approval to volunteer in classrooms and that parents read to children and participate with their child for parent nights. You stated you communicate with parents daily through Class Dojo. The following violations were observed and documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily arrival times were not documented for children in room 602. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. The activity plan for room 601 was not printed from the computer and posted. GS 110-91(12); .0508(a) 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. A child with no prior known milk allergy was not served milk or a milk substitute in room 602. When asked, the child stated he is allergic to milk. 10A NCAC 09 .0901(a) 807 A safe indoor and outdoor environment was not provided for the children. Staff handbags were stored accessible to children in room 602. 10A NCAC 09 .0601(a) 1041 Prior to employment a Criminal Background Check was not completed. Kenya Huntley and Jessica Merritt were counted in staff/ child ratio for 4 and 5 year old children and did not complete the DCDEE criminal background check prior employment. G.S. 110-90.2(b) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. Two substitute teachers working today did not sign documentation verifying they received a review of the facility's EPR plan and its location. .0607(g) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Documentation was not available verifying two individuals serving as substitutes received a review of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to working with children. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff health questionnaires were observed in a notebook with other personnel records and not maintained separately as required. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required to 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 violation cited during today's visit immediately and send me documentation verifying compliance on or before September 27, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation 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 Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Please keep a copy of the facility’s monthly fire drill reports and fire inspection in your Pre-K notebook to provide to me during visits. • Thirty days prior to last year’s annual compliance visit, by December 26th, please send me your completed staff and training worksheet listing all lead teachers, teacher assistants, and principal. • If you maintain records off-site, be sure to add substitute teachers to your off-site records verification form initialed by the principal. Also today we discussed that subs should receive a review of your EPR plan and its location; and a review of the Prevent Shaken Baby Policy prior to providing child care. Substitutes should sign a statement verifying they received this review. * Only subs with DCDEE background checks may work in NC Pre-K classrooms. At the completion of the visit, this visit summary was reviewed with Ms. Viteri, Ms. Boyd, and Ms. Fairall from my computer screen and emailed 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: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times