Family Services Inc., At IGC

10A NCAC 09 .0302 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 68 Completed Date: 5/8/2026 Age: From 0 To 5 Total Minutes: 250 Time In: 10:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/06/2026. A fire drill was recorded 4/10/26. The most recent shelter-in-place drill for the facility was recorded 3/25/26. The most recent fire inspection was on 3/07/2026; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/09/2025 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 5 was observed to not have an arrival time recorded. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. One incident report was observed not to be entered on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. .0604(q) 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 Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing six children’s applications. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The chronic condition/ allergy for one child enrolled was not recorded on the medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/22/26. 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 the Visit: A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. It is important for all required inspections to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to contact your local inspector approximately three to four weeks prior to your annual inspection being due to ensure inspections can be completed on time. The Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. 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. Sneed linked this staff member’s CBC Qualification Letter to the facility’s ABCMS profile during the visit, and I observed this on the facility’s ABCMS staff roster. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. It is important for any items which can be choking hazards for children under three years of age to be inaccessible at all times. Ms. Sneed stated the latch beneath the diaper table was not functioning correctly, and she would contact maintenance to fix this latch so these items can be stored beneath the table, but inaccessible to children in the future. The Ready to Go file was observed to be missing six children’s applications. It is imperative for all children’s applications to be included and accessible in the Ready to Go file at all times in the event of an unexpected emergency evacuation, as both staff and emergency responders would need to know that all children enrolled are accounted for. Ms. Sneed added these missing applications to the Ready to Go file during the visit. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Sneed during the visit: - 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) regarding lockdown/ shelter-in-place drills - 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k)(l) -It is best practice for children to wash their hands following meals and snacks, especially younger children who tend to eat, in part, with their hands. If a softer vegetable which is more easily chewed is substituted for infants and toddlers, include this substitution on your posted menu. Ms. Sneed stated the facility had initially requested a capacity of 90 children when the facility opened, but the initial building inspection dated 1/24/2024 states a maximum of 75 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children. She stated on 3/05/2026, a building inspector returned and completed a building inspection approving a maximum of 90 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children; Ms. Sneed provided me a copy of this building inspection during the visit. I stated she must send me a written request to increase the facility’s capacity from 75 children to 90 children on facility letterhead. I shared with Ms. Sneed that once I receive this request, I will process the required documentation for a capacity increase for the facility. Make sure you check all packaging containing diaper wipes when these are purchased for your program or when parents bring them to your facility (especially on plastic packages of individual wipes) for warning labels which would require these packages to be inaccessible (not necessarily locked) to children at all times due to a suffocation hazard. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you; you were given the opportunity to as questions. Contact me at (Cara McKeown-Stewart, (336) 408-4849, cara.mckeown-stewart@dhhs.nc.gov ) or (Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 68 Completed Date: 5/8/2026 Age: From 0 To 5 Total Minutes: 250 Time In: 10:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/06/2026. A fire drill was recorded 4/10/26. The most recent shelter-in-place drill for the facility was recorded 3/25/26. The most recent fire inspection was on 3/07/2026; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/09/2025 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 5 was observed to not have an arrival time recorded. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. One incident report was observed not to be entered on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. .0604(q) 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 Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing six children’s applications. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The chronic condition/ allergy for one child enrolled was not recorded on the medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/22/26. 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 the Visit: A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. It is important for all required inspections to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to contact your local inspector approximately three to four weeks prior to your annual inspection being due to ensure inspections can be completed on time. The Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. 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. Sneed linked this staff member’s CBC Qualification Letter to the facility’s ABCMS profile during the visit, and I observed this on the facility’s ABCMS staff roster. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. It is important for any items which can be choking hazards for children under three years of age to be inaccessible at all times. Ms. Sneed stated the latch beneath the diaper table was not functioning correctly, and she would contact maintenance to fix this latch so these items can be stored beneath the table, but inaccessible to children in the future. The Ready to Go file was observed to be missing six children’s applications. It is imperative for all children’s applications to be included and accessible in the Ready to Go file at all times in the event of an unexpected emergency evacuation, as both staff and emergency responders would need to know that all children enrolled are accounted for. Ms. Sneed added these missing applications to the Ready to Go file during the visit. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Sneed during the visit: - 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) regarding lockdown/ shelter-in-place drills - 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k)(l) -It is best practice for children to wash their hands following meals and snacks, especially younger children who tend to eat, in part, with their hands. If a softer vegetable which is more easily chewed is substituted for infants and toddlers, include this substitution on your posted menu. Ms. Sneed stated the facility had initially requested a capacity of 90 children when the facility opened, but the initial building inspection dated 1/24/2024 states a maximum of 75 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children. She stated on 3/05/2026, a building inspector returned and completed a building inspection approving a maximum of 90 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children; Ms. Sneed provided me a copy of this building inspection during the visit. I stated she must send me a written request to increase the facility’s capacity from 75 children to 90 children on facility letterhead. I shared with Ms. Sneed that once I receive this request, I will process the required documentation for a capacity increase for the facility. Make sure you check all packaging containing diaper wipes when these are purchased for your program or when parents bring them to your facility (especially on plastic packages of individual wipes) for warning labels which would require these packages to be inaccessible (not necessarily locked) to children at all times due to a suffocation hazard. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you; you were given the opportunity to as questions. Contact me at (Cara McKeown-Stewart, (336) 408-4849, cara.mckeown-stewart@dhhs.nc.gov ) or (Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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 .0604 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 68 Completed Date: 5/8/2026 Age: From 0 To 5 Total Minutes: 250 Time In: 10:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/06/2026. A fire drill was recorded 4/10/26. The most recent shelter-in-place drill for the facility was recorded 3/25/26. The most recent fire inspection was on 3/07/2026; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/09/2025 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 5 was observed to not have an arrival time recorded. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. One incident report was observed not to be entered on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. .0604(q) 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 Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing six children’s applications. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The chronic condition/ allergy for one child enrolled was not recorded on the medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/22/26. 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 the Visit: A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. It is important for all required inspections to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to contact your local inspector approximately three to four weeks prior to your annual inspection being due to ensure inspections can be completed on time. The Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. 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. Sneed linked this staff member’s CBC Qualification Letter to the facility’s ABCMS profile during the visit, and I observed this on the facility’s ABCMS staff roster. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. It is important for any items which can be choking hazards for children under three years of age to be inaccessible at all times. Ms. Sneed stated the latch beneath the diaper table was not functioning correctly, and she would contact maintenance to fix this latch so these items can be stored beneath the table, but inaccessible to children in the future. The Ready to Go file was observed to be missing six children’s applications. It is imperative for all children’s applications to be included and accessible in the Ready to Go file at all times in the event of an unexpected emergency evacuation, as both staff and emergency responders would need to know that all children enrolled are accounted for. Ms. Sneed added these missing applications to the Ready to Go file during the visit. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Sneed during the visit: - 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) regarding lockdown/ shelter-in-place drills - 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k)(l) -It is best practice for children to wash their hands following meals and snacks, especially younger children who tend to eat, in part, with their hands. If a softer vegetable which is more easily chewed is substituted for infants and toddlers, include this substitution on your posted menu. Ms. Sneed stated the facility had initially requested a capacity of 90 children when the facility opened, but the initial building inspection dated 1/24/2024 states a maximum of 75 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children. She stated on 3/05/2026, a building inspector returned and completed a building inspection approving a maximum of 90 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children; Ms. Sneed provided me a copy of this building inspection during the visit. I stated she must send me a written request to increase the facility’s capacity from 75 children to 90 children on facility letterhead. I shared with Ms. Sneed that once I receive this request, I will process the required documentation for a capacity increase for the facility. Make sure you check all packaging containing diaper wipes when these are purchased for your program or when parents bring them to your facility (especially on plastic packages of individual wipes) for warning labels which would require these packages to be inaccessible (not necessarily locked) to children at all times due to a suffocation hazard. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you; you were given the opportunity to as questions. Contact me at (Cara McKeown-Stewart, (336) 408-4849, cara.mckeown-stewart@dhhs.nc.gov ) or (Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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 .0605 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 68 Completed Date: 5/8/2026 Age: From 0 To 5 Total Minutes: 250 Time In: 10:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/06/2026. A fire drill was recorded 4/10/26. The most recent shelter-in-place drill for the facility was recorded 3/25/26. The most recent fire inspection was on 3/07/2026; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/09/2025 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 5 was observed to not have an arrival time recorded. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. One incident report was observed not to be entered on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. .0604(q) 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 Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing six children’s applications. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The chronic condition/ allergy for one child enrolled was not recorded on the medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/22/26. 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 the Visit: A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. It is important for all required inspections to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to contact your local inspector approximately three to four weeks prior to your annual inspection being due to ensure inspections can be completed on time. The Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. 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. Sneed linked this staff member’s CBC Qualification Letter to the facility’s ABCMS profile during the visit, and I observed this on the facility’s ABCMS staff roster. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. It is important for any items which can be choking hazards for children under three years of age to be inaccessible at all times. Ms. Sneed stated the latch beneath the diaper table was not functioning correctly, and she would contact maintenance to fix this latch so these items can be stored beneath the table, but inaccessible to children in the future. The Ready to Go file was observed to be missing six children’s applications. It is imperative for all children’s applications to be included and accessible in the Ready to Go file at all times in the event of an unexpected emergency evacuation, as both staff and emergency responders would need to know that all children enrolled are accounted for. Ms. Sneed added these missing applications to the Ready to Go file during the visit. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Sneed during the visit: - 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) regarding lockdown/ shelter-in-place drills - 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k)(l) -It is best practice for children to wash their hands following meals and snacks, especially younger children who tend to eat, in part, with their hands. If a softer vegetable which is more easily chewed is substituted for infants and toddlers, include this substitution on your posted menu. Ms. Sneed stated the facility had initially requested a capacity of 90 children when the facility opened, but the initial building inspection dated 1/24/2024 states a maximum of 75 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children. She stated on 3/05/2026, a building inspector returned and completed a building inspection approving a maximum of 90 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children; Ms. Sneed provided me a copy of this building inspection during the visit. I stated she must send me a written request to increase the facility’s capacity from 75 children to 90 children on facility letterhead. I shared with Ms. Sneed that once I receive this request, I will process the required documentation for a capacity increase for the facility. Make sure you check all packaging containing diaper wipes when these are purchased for your program or when parents bring them to your facility (especially on plastic packages of individual wipes) for warning labels which would require these packages to be inaccessible (not necessarily locked) to children at all times due to a suffocation hazard. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you; you were given the opportunity to as questions. Contact me at (Cara McKeown-Stewart, (336) 408-4849, cara.mckeown-stewart@dhhs.nc.gov ) or (Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/8/2026 Number Present: 68 Completed Date: 5/8/2026 Age: From 0 To 5 Total Minutes: 250 Time In: 10:20 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch during the visit. One new staff member was reported at this program. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/06/2026. A fire drill was recorded 4/10/26. The most recent shelter-in-place drill for the facility was recorded 3/25/26. The most recent fire inspection was on 3/07/2026; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/09/2025 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. One child enrolled in Space 5 was observed to not have an arrival time recorded. 10A NCAC 09 .0302(d)(4) 853 Incident logs were not completed and maintained as required. One incident report was observed not to be entered on the incident log. .0802(g)(1-6) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. .0604(q) 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 Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file was observed to be missing six children’s applications. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The chronic condition/ allergy for one child enrolled was not recorded on the medication authorization form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/22/26. 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 the Visit: A fire inspection was conducted on 3/07/2026; the last fire inspection completed prior was conducted on 2/27/2025. It is important for all required inspections to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to contact your local inspector approximately three to four weeks prior to your annual inspection being due to ensure inspections can be completed on time. The Criminal Background Check Qualification Letter for one new staff member was not linked to the facility’s ABCMS profile within five days of employment. 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. Sneed linked this staff member’s CBC Qualification Letter to the facility’s ABCMS profile during the visit, and I observed this on the facility’s ABCMS staff roster. Two plastic diaper wrappers with a suffocation hazard listed on the wrapper were observed beneath a partially open diaper changing table in the bathroom of Space 2, accessible to children; the diapers were removed from the wrappers, and the wrappers were discarded during the visit. It is important for any items which can be choking hazards for children under three years of age to be inaccessible at all times. Ms. Sneed stated the latch beneath the diaper table was not functioning correctly, and she would contact maintenance to fix this latch so these items can be stored beneath the table, but inaccessible to children in the future. The Ready to Go file was observed to be missing six children’s applications. It is imperative for all children’s applications to be included and accessible in the Ready to Go file at all times in the event of an unexpected emergency evacuation, as both staff and emergency responders would need to know that all children enrolled are accounted for. Ms. Sneed added these missing applications to the Ready to Go file during the visit. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Sneed during the visit: - 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) regarding lockdown/ shelter-in-place drills - 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k)(l) -It is best practice for children to wash their hands following meals and snacks, especially younger children who tend to eat, in part, with their hands. If a softer vegetable which is more easily chewed is substituted for infants and toddlers, include this substitution on your posted menu. Ms. Sneed stated the facility had initially requested a capacity of 90 children when the facility opened, but the initial building inspection dated 1/24/2024 states a maximum of 75 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children. She stated on 3/05/2026, a building inspector returned and completed a building inspection approving a maximum of 90 people per plumbing facilities are permitted for 6 rooms approved for occupancy by children; Ms. Sneed provided me a copy of this building inspection during the visit. I stated she must send me a written request to increase the facility’s capacity from 75 children to 90 children on facility letterhead. I shared with Ms. Sneed that once I receive this request, I will process the required documentation for a capacity increase for the facility. Make sure you check all packaging containing diaper wipes when these are purchased for your program or when parents bring them to your facility (especially on plastic packages of individual wipes) for warning labels which would require these packages to be inaccessible (not necessarily locked) to children at all times due to a suffocation hazard. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you; you were given the opportunity to as questions. Contact me at (Cara McKeown-Stewart, (336) 408-4849, cara.mckeown-stewart@dhhs.nc.gov ) or (Pam Hauser, Supervisor, (336) 317-5003, pamela.hauser@dhhs.nc.gov if you have questions. Thank you for your time and assistance during the visit. 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: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1104 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 69 Completed Date: 1/6/2026 Age: From 0 To 5 Total Minutes: 425 Time In: 09:55 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. This visit was conducted with Erica Sneed, Director. Your program currently operates with a five-star license, issued August 8, 2024. Restrictions include 1st shift care; meets enhanced ratios minus one and enhanced space; and no cooking allowed. The license was posted, and restrictions were observed in compliance. The Secretary of State website was monitored on 1/02/2026, and Family Services, Inc. was listed as Current/ Active. The sanitation inspection was completed 12/09/2025 with a “Superior” classification. The last fire inspection was conducted on 2/27/2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 81% percent as of 1/02/2026. All programs are required to maintain 75% compliance. Upon arrival, the license was posted. Six classrooms were observed during this visit. All indoor and outdoor areas were observed during the visit. Upon arrival staff/child ratio was observed and recorded on the attached worksheet. Supervision was adequate during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. I observed children playing in activity areas, participating in general routines, engaging in conversations and activities with their teachers, playing outdoors, eating lunch, and napping during the visit. I observed interactions between staff and children. An allergy list was posted in each classroom and in the kitchen. Storage of hazardous items was monitored. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. A 2011 Thomas Mini School Bus, License Plate # KER7739, is used to transport children for offsite field trips at other Family Services child development programs. Ms. Sneed stated no children enrolled at the facility have been transported by this vehicle to date. Vehicle insurance was observed to have an effective date of 7/01/2025 and an expiration date of 7/01/2026, with automatic insurance renewal. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. All other transportation requirements were monitored and found to be in compliance. Ms. Sneed stated this program does not participate in off-premise or aquatic activities at all this time. Staff and Training Worksheets were submitted prior to the visit. Staff files and children’s records were monitored per DCDEE procedures. One new staff member was reported at the program. The files for two existing staff members and the one new staff member were monitored during the visit. The files for nine children enrolled were monitored during the visit. Playground inspections, lockdown/ shelter-in-place drills and fire drill logs were monitored and observed to be in compliance for one year. A fire drill was conducted on 12/10/2025. A lockdown drill was completed on 12/04/2025. A playground inspection was completed on 1/05/2026. The following violations were cited during today's visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were observed not to have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The digital thermometer located inside a refrigerator in Space 1 was observed not to be functioning or able to be turned on. 15A NCAC 18A .2806(j)(2) 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 plastic bag filled with travel tubes of fluoridated toothpaste was observed in Space 5 less than five feet from the ground and accessible to children. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care; only the logs for today's date were available for review. .0606(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. .0701(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. .1002(b) 1329 Application for enrollment did not include all required information. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 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 Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. G.S. 110-90.2 & .2703(r) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The emergency information for two staff members, the emergency medication information and medical action plans for three children enrolled with emergency medications, and a list of known food allergies was not observed in the Ready to Go file. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission to administer medication form was not on file for one child enrolled with an emergency medication in Space 3. The date received and chronic medical condition for one child enrolled in Space 3 with an emergency medication was not observed recorded on the permission to administer medication form. The chronic medical condition for one child enrolled in Space 4 with an emergency medication was not observed recorded on the permission to administer medication form. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 1/20/2026. 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 Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The registration and inspection onsite for the vehicle was observed to be expired as of 12/31/25. It is imperative all required documentation is up to date and on file for vehicles transporting children at all times for the safety of children enrolled. The maintenance manager for the facility stated the vehicle had an inspection completed prior to the holiday break; however, the new inspection and registration documentation were received by the Operations Manager who is located at another Family Services site. The Operations Manager was contacted during the visit and stated he would ensure this information is sent to the facility when he returns to the office tomorrow (1/07/26) from the holiday. You may consider scheduling these inspections to be completed several weeks to one month in advance, moving forward. Safe sleep logs were not maintained for a minimum of one month for infants enrolled in care. The TB test for one new staff member with a start date of 12/08/2025 was dated 6/07/2024. The applications for two children enrolled did not include fears or behavior characteristics the children have. It is important for all records to be current, complete, and maintained to ensure the health, safety, and quality of care for children enrolled. A staff member stated the facility has been recording these logs daily on infant daily sheets, but that parents were taking the sheets home at the end of the day. Ms. Sneed stated the facility will begin to use the Safe Sleep Records located under Provider Documents and Forms on the Division website moving forward. Ms. Sneed stated she did not realize a TB test must be less than 12 months old for a new staff member transitioning from another child care program. She also stated the home visits for these two children enrolled were accidentally misplaced. You may consider creating a routine system for reviewing all child, staff, and program records to ensure all information is updated, complete, and available for review. The Criminal Background Check Qualification Letters for three staff members (two existing and one new) were not observed linked to the ABCMS Facility Profile within five days of hire. It is necessary for these 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 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. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Sneed during the visit: 10A NCAC 09 .1104 PROFESSIONAL DEVELOPMENT PLAN 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) regarding substitutions Only staff emergency contact information should be present in the Ready to Go file; do not include staff health questionnaires. Consider raking mulch from other areas of the playground designated for preschool children into fall zones. Ensure all staff have created a DCDEE Works account and have submitted their most current education to Works for evaluation. Four staff members need to contact the CBC Unit and speak with an ABCMS representative at (919) 814-6401 to have their current CBC qualification letters linked to the facility's profile, as each of their expired letters are the ones currently linked. 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. Ms. Sneed stated she believes all Head Start programs in Forsyth County will be choosing Pathway 3, Accreditation and Head Start, but this has not yet been confirmed by senior administration. 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, and you were provided the opportunity to ask questions regarding the visit. Contact me at Cara McKeown, Child Care Consultant, (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: PAMELA HAUSER Operation Type: Center Case Number: 1125-256L Visit Date: 12/3/2025 Number Present: 15 Completed Date: 12/3/2025 Age: From 3 To 4 Total Minutes: 200 Time In: 09:25 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Erica Sneed, administrator, accompanied me during a walk-through of space 6, the classroom for children three and four years of age. During the visit, I discussed the information with Erica Sneed, administrator, and two additional staff members. Based on information obtained, the following was determined: On November 20, 2025, a three-year-old child was left outside unsupervised for approximately 8 minutes from 10:28am to 10:36am. This incident occurred on the large Head Start playground. There were fourteen children present on this day with two teachers. The administrator stated on the day of the incident she and a family advocate were walking to the gallery on the opposite side of the building to retrieve chairs for a Friendsgiving event that was to take place that day at the facility. As she was leaving the door of the gallery the administrator saw movement out of her peripheral vision to the right and looked to see a child’s foot and arm. The administrator stated she immediately went to the door and brought the child inside the building. The child was crying and upset and the administrator checked her over and comforted her on the bench as you entered the building. Then she proceeded to return the child to her classroom as the teachers were unaware the child was left outside. The children were sitting down, and the teachers were beginning to start the name to face count. The administrator stated she reviewed the video at naptime to determine what had taken place outside on the playground and contacted the parent to make her aware of the situation. The lead teacher in space 6, stated they usually the children are given a 5-minute reminder to begin cleaning up while they prepare to go back inside to their classroom. On the day of the incident, she was helping two children to clean up and put away their trikes. The teacher was already with the other children who were beginning to line up. After the two children joined the group, the lead teacher turned her head to the left and right to look behind her for any children on the playground. The children proceeded to exit the gate with the two teachers and enter the building. The lead teacher stated they did not count that day or the name to face sheet was not with them. Upon entering the classroom and the children sat down and the teachers began to conduct the name to face sheet as the children went to the bathroom. The teacher in space 6, stated on the day of the incident, they began to clean up around 10:20am. She stated she had already placed the rope at the gate which the children hold onto as they are walking back to their classroom. She stated the lead teacher was at the back of the playground assisting two children with clean up. The teacher stated they count every day and complete the name to face before going inside and this day they did not communicate. She stated they walked back to the room and the children sat down on the carpet and they began to take children to the bathroom. I observed video from the day of the incident. It was observed on the video that the children and teachers exited the outdoor play area at approximately 10:28am. I observed the child on the video behind a 3-panel art easel on a slight hill to the upper left of the playground. I observed the child bending down and then I observed her feet only. The child was visibly upset when seen at the gate of the playground and then went back to ride a trike and then back to the gate, then the administrator can be seen opening the gate and bringing her inside the building. The child was not injured. Limited monitoring of childcare requirements occurred during today’s visit. Staff/Child Ratio, supervision, arrival and departure times, attendance and name to face sheets for today were monitored. The following violation was confirmed during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 20, 2025, a three-year-old child was left outside unsupervised on the playground from 10:28am to 10:36am. .1801(a)(1-5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before December 17, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown-Stewart P.O. Box 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 being taken by the DCDEE. Technical assistance discussed during today’s visit related to violation: Item #303- Children were not adequately supervised at all times. Supervision in of children in a group setting is the active, ongoing process of watching and directing children to ensure their safety and well-being. This involves more than just being present; it requires caregivers to constantly see, hear, and be close enough to intervene immediately. Effective supervision includes anticipating potential risks, monitoring behavior and interactions, and positioning oneself strategically to see all children and be near those who might need extra support. It is crucial to consider the individual needs, ages, and activities of the children, as well as environmental hazards, to provide appropriate and continuous supervision. Caregivers must always be able to see and hear all children, even during transitions, and must continuously scan the environment and frequently count children, especially when moving from one location to another. Transitions are acritical time. Procedures like "face-to-name" checks are essential to ensure no child is left behind. Caregivers should be able to render immediate assistance is critical. This might change depending on the activity and the child's age and abilities. Staff should strategically place themselves to see all children and be close to areas of high risk or activity, such as play structures or craft tables and attentively listening can help identify potential dangers or concerns expressed by children. Engaging with children helps prevent misbehavior and accidents and shows them that you are paying attention and caregivers must be ready to intervene and provide guidance when children's behavior becomes unsafe or when they need assistance. Ms. Sneed stated she held Active Supervision training on the afternoon of November 25, 2025, for all staff except a part-time aide and floater. This training was inclusive of training the staff how to complete the name-to-face sheet and reviewing the facility’s current Active Supervision policy and all staff signed receipt of the training received and review of the policy. She spoke with the aid and floater and gave them resources and plans to provide the Active Supervision training for those two individuals as well. Ms. Sneed stated in addition to the name-to-face sheet, she is suggesting staff use the name to face sheet and then have a picture of the children on cards, on wristlets or around their neck on a lanyard as an additional measure to ensure adequate supervision at all times. In addition, I shared with the administrator and two teachers suggestions including but not limited to one staff member conduct an additional sweep/walk through of the playground prior to exiting, conducting the name to face prior to exiting the playground, throughout the hallways as they transition back to their classroom, and upon entering the classroom. 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 using the information below. Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov or (336) 317-5003 For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 63 Completed Date: 5/12/2025 Age: From 2 To 5 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers and participating in general routines during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/07/2025. A fire drill was recorded 4/16/2025. The most recent shelter-in-place drill for the facility was recorded 2/11/25. The most recent fire inspection was on 2/27/25. I observed a sanitation inspection was last conducted on 1/28/2025 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 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 5 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom designated for children two and three years of age, an open, thin plastic wrapper was observed on a roll of changing table paper beneath the changing table in an unlatched cabinet. .0604(q) 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) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not include staff contact information for two staff members. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication in Space 5 did not contain specific criteria for when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/26/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. It is important for all emergency drills to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to ensure all shelter-in-place/lockdown drills are completed every three months. 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. Sneed stated she has the instructions I sent via email to complete this process. 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: The following Child Care Rules were discussed with Ms. Sneed during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding storing personal staff beverages (other than water) in an opaque container with a lid in classrooms. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 63 Completed Date: 5/12/2025 Age: From 2 To 5 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers and participating in general routines during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/07/2025. A fire drill was recorded 4/16/2025. The most recent shelter-in-place drill for the facility was recorded 2/11/25. The most recent fire inspection was on 2/27/25. I observed a sanitation inspection was last conducted on 1/28/2025 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 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 5 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom designated for children two and three years of age, an open, thin plastic wrapper was observed on a roll of changing table paper beneath the changing table in an unlatched cabinet. .0604(q) 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) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not include staff contact information for two staff members. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication in Space 5 did not contain specific criteria for when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/26/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. It is important for all emergency drills to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to ensure all shelter-in-place/lockdown drills are completed every three months. 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. Sneed stated she has the instructions I sent via email to complete this process. 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: The following Child Care Rules were discussed with Ms. Sneed during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding storing personal staff beverages (other than water) in an opaque container with a lid in classrooms. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/12/2025 Number Present: 63 Completed Date: 5/12/2025 Age: From 2 To 5 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted with Erica Sneed, Director. Your program currently operates with a 5-Star license effective 8/08/2024. Restrictions include 1st shift care, no cooking allowed, meets enhanced space, meets enhanced ratios, and meets enhanced ratios minus one. The program’s compliance history was 91% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers and participating in general routines during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 5/07/2025. A fire drill was recorded 4/16/2025. The most recent shelter-in-place drill for the facility was recorded 2/11/25. The most recent fire inspection was on 2/27/25. I observed a sanitation inspection was last conducted on 1/28/2025 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 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Space 5 did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 2, a classroom designated for children two and three years of age, an open, thin plastic wrapper was observed on a roll of changing table paper beneath the changing table in an unlatched cabinet. .0604(q) 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) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go file did not include staff contact information for two staff members. .0607(d)(10) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled with an emergency medication in Space 5 did not contain specific criteria for when to administer the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/26/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: A shelter-in-place/lockdown drill was conducted on 2/11/25; the last shelter-in-place/lockdown drill completed prior was conducted on 10/23/2024. It is important for all emergency drills to be current and recorded at all times for the safety of children enrolled. You may consider creating a calendar reminder to ensure all shelter-in-place/lockdown drills are completed every three months. 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. Sneed stated she has the instructions I sent via email to complete this process. 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: The following Child Care Rules were discussed with Ms. Sneed during the visit: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding storing personal staff beverages (other than water) in an opaque container with a lid in classrooms. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Family Services Inc., At IGC Facility ID: 34001423 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/3/2025 Number Present: 42 Completed Date: 2/3/2025 Age: From 2 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Erica Sneed, Director. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets enhanced ratios minus one, meets enhanced space, and no cooking allowed. The Secretary of State website was monitored on 2/03/2025, and Family Services, Inc. was listed as Current/ Active. The license was observed, and the restrictions were monitored. The program’s compliance history was 98% 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 monitored 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 temporary license was issued on 2/07/2024. A sanitation inspection was completed 1/28/2025 with a Superior classification. The last fire inspection was conducted on 1/24/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter-in-place drill was last documented on 10/23/2024. An outdoor inspection was documented on 1/09/2025. Staff files and children’s records were monitored per DCDEE procedures. Two new staff members were reported at the program. The files for one existing staff member and the two new staff members were monitored during the visit. The files for eight children enrolled were monitored during the visit. Storage of hazardous items was monitored today and found to be in compliance. All medications and required medication documentation was monitored. Ms. Sneed stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The most recent fire inspection was conducted on 1/24/24. 10A NCAC 09 .0304(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch. 10A NCAC 09 .0601(a) 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid poster was not posted in a prominent place for referral. .0802(h) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1030 Application for employment and date of birth was not on file for all staff. The file for one existing staff member and one new staff member did not contain an application for employment. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The file for one existing staff member did not contain a medical report. 10A NCAC 09 .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The file for one new employee did not contain a Health Questionnaire. .0701(a) 1329 Application for enrollment did not include all required information. employment. The file for one existing staff member did not contain a medical report. The applications for two children enrolled did not include fears or behavior characteristics that the child has. .0801(a)(1-7) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. .0604(u);.0302(d)(8) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. .0607(c) 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. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. .0801(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/17/2025. 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: In Space 2, a classroom designated for children two and three years of age, three plastic bags were observed accessible to children under three years of age. Each of these bags was made inaccessible to children during the visit. A First Aid poster was not posted in a prominent place for referral; a copy of this information sheet was posted on the Parent Board during the visit. A current activity plan was not posted in Space 3; the plan was dated 1/21/25 – 1/24/25. A current activity plan was posted in Space 3 during the visit. On the playground used by children three years of age and older, two broken plastic pieces of toys were observed on the ground which were sharp to the touch; each of these items was disposed of during the visit. The file for one new employee did not contain a Health Questionnaire; this Health Questionnaire was completed by the employee during the visit and placed on file. A physical copy of the Emergency Preparedness and Response Plan was not on file for review. The most recent lockdown/ shelter-in-place drill was completed on 10/23/2024. The most recent fire inspection was conducted on 1/24/24. The medication authorization form for one child enrolled with an emergency medication in Space 5 was on file, but not complete; the form was missing the subject medical conditions or allergic reactions; the names of the authorized prescription medication; the criteria for the administration of the medication; the amount and frequency of the dosages; the manner in which the medication shall be administered; the signature of the parent; and the date the authorization was signed by the parent. A medical action plan was not on file for one child enrolled in Space 4 with an emergency medication. The medication authorization for one child enrolled in Space 4 with an emergency medication did not contain the subject medical conditions or allergic reactions. The applications for two children enrolled did not include fears or behavior characteristics that the child has. The file for one existing staff member and one new staff member did not contain an application for employment. The file for one existing staff member did not contain a medical report. Ms. Sneed stated the program has been short-staffed recently, and she has often had to staff a classroom, but that she is working to ensure all required information is updated and placed on file. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. Consultation Provided During Visit: The following Child Care Rule was reviewed with Ms. Sneed during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d)(10) Please consider adding a covered trash can to the playground used by children three years of age and older. Recent inclement weather (ice formation) caused paint to chip off from the roof and settle onto the playground used by children two years of age. Ms. Sneed stated she has placed a work order for this chipped paint to be removed from the playground area and that no children have been on this playground since this occurred. Ms. Sneed stated the children are currently using the Intergenerational Playground until this work order has been completed. Please monitor each playground daily for debris/ litter, prior to the children using these areas. You can request a free First Aid poster at the following link: https://healthychildcare.unc.edu/resources/posters/ North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February, 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401, and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times