Foundations Early Learning Center

GS 110-102 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 4/28/2026 Number Present: 95 Completed Date: 4/28/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced ratios, meets enhanced space. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 04-28-2026. The program’s compliance history was not checked, as the system is down. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing with toys, at circle time and interacting with teachers. The last sanitation inspection was conducted on 12-02-2026. The last fire inspection was conducted on 02-06-2026. A fire drill was documented on 03-30-2026. A shelter in place drill was documented on 03-16-2026. An outdoor inspection was documented on 04-13-2026. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. The following violations were documented and corrected during this visit: 114 – corrected 1030 – corrected Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of three children enrolled in the center. GS 110-102 1030 Application for employment and date of birth was not on file for one staff. .0302(d)(1)(A) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: I have printed and reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov or 336-317-5003. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 8/11/2025 Number Present: 80 Completed Date: 8/11/2025 Age: From 0 To 5 Total Minutes: 210 Time In: 08:30 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 is to monitor this program for compliance with applicable requirements for a Routine Unannounced Visit. This visit was conducted with Ms. Donyetta Garcia, Assistant Director. This program currently operates with a Five Star license. The license was posted and the restrictions were being followed. The program’s compliance history was 92% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least 75%. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit, the children were playing with toys and interacting with the teacher. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • SIDS training • Criminal Background Checks • General health • Administration of medication • Storage of hazardous products • Storage of medication • General safety • General license requirements • Program records • License posted • Fire safety • Sanitation Limited monitoring of staff files was conducted in accordance with DCDEE procedures for the purpose of reviewing CPR and First Aid, EPR, SIDS training, Health and Safety trainings and Criminal Background Checks. The storage and administration of medications was monitored. Medication authorization was monitored. The storage of hazardous items was monitored. A fire drill was documented on 05-19-2025. A shelter in place drill was documented on 02-27-2025. An outdoor inspection was documented on 07-31-2025. This program does not provide transportation. The following violations were documented during this visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed in May. .0604(t); .0302(d)(5) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in -place drill was conducted in February. .0604(u);.0302(d)(8) 1879 Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information. Two tubes of diaper cream and one bottle of benedryl did not have the name on the medicine. 10A NCAC 09 .0803(2)(b)(i-v) I have asked Ms. Garcia to send me written documentation by August 25, 2025 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. Garcia that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation: The bottles in the infant refrigerator must have the date that the mother brought it on the bottle. Ms. Garcia reports that the Fire Alarm system needed some work and the company is working to fix it. I have told her that fire drills must still be conducted during this time. Ms. Garcia reports that the system will sound if there is a fire. I have reviewed this visit summary with Ms. Garcia at the conclusion of the visit and a copy was given to her. I appreciated Ms. Garcia’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 Kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at 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: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 89 Completed Date: 5/22/2025 Age: From 0 To 5 Total Minutes: 270 Time In: 09:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced ratios, meets enhanced space. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 05/22/2025. The program’s compliance history was 91% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, doing art and dancing to music, and playing in activity centers. The last sanitation inspection was conducted on 02/04/2025. The last fire inspection was conducted on 02/28/2025. A fire drill was documented on 05/19/2025. A shelter in place drill was documented on 02/27/2025. An outdoor inspection was documented on 05/16/2025. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One bottle in space 1B was not labeled or dated. Ms. Williams disposed of this during the visit. 15A NCAC 18A .2804(d) 807 A safe indoor and outdoor environment was not provided for the children. Two places on the outdoor shed are broken and one is presenting a sharp edge. Ms. Williams put a piece of furniture in front of the piece, until maintenance can remove it. 10A NCAC 09 .0601(a) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation: Ms. Williams does not have the proper paperwork on file to administer an Epi-Pen to one child. I have asked her to get the proper paperwork from the parent. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE 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 portal 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) 814-6401 and someone will assist you. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at 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: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 85 Completed Date: 7/15/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space and meets enhanced ratios. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 07/15/24 for Sunshine House. The program’s compliance history was 88% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, eating lunch and taking a nap. The last annual compliance visit was conducted on 07/24/2023. The last sanitation inspection was conducted on 12-29-2023. The last fire inspection was conducted on 03-12-2024 . A fire drill was documented on 06-28-2024. A shelter in place drill was documented on 05-23-2024. An outdoor inspection was documented on 06-28-2024. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in space 2. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. There is a piece of lattice that has come loose from the building and has two sharp staples within reach of children. 10A NCAC 09 .0601(a) I have asked Ms. Williams to send me written documentation by July 29, 2024 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. Williams that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: Make sure attendance is taken by a reasonable hour in the morning. If a child’s diaper cream permission slip has expired, do not use the diaper cream on the child until a new permission slip is obtained. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time as assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 85 Completed Date: 7/15/2024 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space and meets enhanced ratios. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 07/15/24 for Sunshine House. The program’s compliance history was 88% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, eating lunch and taking a nap. The last annual compliance visit was conducted on 07/24/2023. The last sanitation inspection was conducted on 12-29-2023. The last fire inspection was conducted on 03-12-2024 . A fire drill was documented on 06-28-2024. A shelter in place drill was documented on 05-23-2024. An outdoor inspection was documented on 06-28-2024. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan was not current in space 2. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. There is a piece of lattice that has come loose from the building and has two sharp staples within reach of children. 10A NCAC 09 .0601(a) I have asked Ms. Williams to send me written documentation by July 29, 2024 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. Williams that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: Make sure attendance is taken by a reasonable hour in the morning. If a child’s diaper cream permission slip has expired, do not use the diaper cream on the child until a new permission slip is obtained. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time as assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: 0524-354L Visit Date: 6/26/2024 Number Present: 13 Completed Date: 6/26/2024 Age: From 2 To 2 Total Minutes: 61 Time In: 12:29 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to conclude allegations regarding violations of childcare requirements regarding a safe environment. These were reviewed with Ms. Tamara Willams, Director, on June 5, 2024 during a Complaint Visit. Today’s visit was conducted with Ms. Tamara Williams and Ms. Pam Hauser, Licensing Supervisor. Limited monitoring of child care requirements was conducted during today’s visit. Today the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions We interviewed the administrator and staff members on the June 5, 2024 Complaint visit. Based on information provided, a two-year-old child appeared to have a seizure during naptime on May 3, 2024. The child’s teacher called for assistance on the walkie talkie and brought the child into the hallway and then the large common area. The administrator was in a classroom at the time of the incident and came downstairs when she heard the teacher calling. Another staff person was on the phone with the emergency operator. The child’s teacher notified the child’s parent of the emergency situation. The parents arrived at the center and then accompanied the child to the hospital. On the June 5, 2024 visit, Ms. Hauser and I reviewed the child’s file, and we received the Incident Report from May 3, 2024. In addition, we observed documentation regarding the medical emergency and the emergency medical care plan. During the visit on June 5, 2024, we stated to Ms. Williams that the Incident Report had not been recorded on the Incident Log, and that the date of the incident was May 3, 2024, however the signature of the staff at the bottom of the incident report was May 2, 2024. Ms. Williams recorded the incident in the log during the visit. During the visit on June 5, 2024, we observed space 3, where the incident occurred and we observed the area where the child’s cot was located on that day. The drawers and cabinets were locked when we arrived in the room and we monitored the cabinets and drawers, and their contents. We observed children’s diaper creams and sunscreens and the accompanying permission slips. We observed one child’s diaper cream and sunscreen that had an accompanying permission slip that was not filled out completely. Based on information that we received on June 5, 2024 from staff interviews, observation, information from documentation, collateral contacts, and video footage of May 3, 2024, we concluded that the allegation regarding the concern of safe environment is unsubstantiated. We have told Ms. Williams today that an allegation was not included on the information we originally received from the Raleigh office, however, it was a part of the original report. We have discussed this with Ms. Williams today. Based on information in the paragraph above, the allegation regarding the concern that the facility did not follow their emergency medical procedures is unsubstantiated. In viewing video footage of space 4B, it was observed that a staff member lifted a child beneath the child’s arm pits and carried the child and placed the child in a sitting position on the carpet, where five other children were sitting in the book area. The child who was carried was crying and appeared to be upset, and we did not observe any attempts by the teacher to comfort the child. When Ms. Williams viewed that portion of the video today with Ms. Hauser, she stated she observed the same situation that Ms. Hauser observed, regarding the child being moved by the teacher and the teacher appearing to offer no comfort to the child. The following violation, unrelated to the allegations from the complaint, was cited today. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member lifted a child beneath the child’s arm pits and carried the child and placed the child in a sitting position on the carpet, where five other children were sitting in the book area. The child who was carried was crying and appeared to be upset, and we did not observe any attempts by the teacher to comfort the child. G.S. 110-91(10) I have asked Ms. Williams to send me written documentation by July 9, 2024 indicating that the violation(s) that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. Williams that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. The following Technical Assistance was provided today: Child-caregiver relationships, based on high-quality care, are central to brain development, emotional regulation in children and overall learning. When children trust caregivers and are comfortable in the environment that surrounds them, they are allowed to focus on educational discoveries in their physical, social and emotional development. Holding and hugging, in a positive, respectful, and safe manner is an essential part of providing care for infants and toddlers. A staff member lifted a child beneath the child’s arm pits and carried the child and placed the child in a sitting position on the carpet, where five other children were sitting in the book area. The child who was carried was crying and appeared to be upset, and we did not observe any attempts by the teacher to comfort the child. Ms. Williams stated today that she would review the center guidelines and policies with staff regarding nurture and care in the everyday environment. I have reviewed this visit summary with Ms. Williams’ at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: 0524-354L Visit Date: 6/5/2024 Number Present: 14 Completed Date: 6/5/2024 Age: From 2 To 2 Total Minutes: 360 Time In: 09:30 AM Time Out: 01:00 PM Time In: 01:30 PM Time Out: 04:00 PM List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to obtain information regarding alleged violations of child care requirements. This visit was conducted with Ms. Tamara Williams, Director. Ms. Pam Hauser, Licensing Supervisor, accompanied me on this visit. The allegations were as follows: There is a concern regarding a safe environment. Staff interviews were conducted today. The following unrelated violations were documented and corrected today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. There was one container of Desitin diaper cream, and one tube and one stick of sunscreen in one classroom for one child and the accompanying permission slip forms did not list the dates of authorization. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. During today’s visit there was an incident report for one child that as not logged on the incident report log. .0802(g)(1-6) The violations were corrected during the visit. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: Incident reports and logs are a vital tool for ensuring safety within an early childhood environment. By documenting incidents and injuries on the incident log, you can track incident data and take proactive measures to prevent further reoccurrence. Ms. Williams stated that she completes the Incident Logs weekly. I have suggested that Ms. Williams think about the best procedure for filling out the logs. Children’s medicine permission slips must be filled out properly and should be checked for accuracy by the staff. Below is a link concerning medication administration that may be a helpful resource. https://healthychildcare.unc.edu/cchc-competencies-health-and-safety-topics/medication-administration/ Consultation: During today’s visit the layout of the classroom was observed. The classroom is in the shape of a U, which requires staff to position themselves throughout the classroom during the daily activities, including ,but not limited to, nap time to ensure adequate supervision. Active supervision in the early childhood setting is key to ensuring every child’s safety, well-being and learning experiences. Due to the layout of the classroom, best practice would be for two teachers to be present during naptime. During today’s visit two children’s files were reviewed and both children had an allergy in which an emergency medication was prescribed. Paperwork was received for one child on Monday, June 3, 2024, and the emergency medication for the other child had expired. Neither child had emergency medication onsite. A child can experience an allergic reaction at any time which can suddenly become severe. If left untreated, or if treatment is delayed this could possibly lead to death. Having emergency medication is a critical part of being prepared for emergencies. Best practice would be for parents to be required to have the emergency medication on site any time the child is present. This complaint will remain open. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams’ time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov Ms. Hauser can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 86 Completed Date: 11/16/2023 Age: From 0 To 5 Total Minutes: 210 Time In: 09:00 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor this program for compliance with applicable requirements for a Routine Unannounced Visit. This visit was conducted with Ms. Tamara Williams, Director. Today I had the pleasure of meeting Ms. Leah Thomas, District Manager. Ms. Thomas assisted us during this visit. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space, meets enhanced ratios. The license was posted and the restrictions were being followed. The program’s compliance history was 85% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least 75%. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit, the children were playing indoors and outdoors, making art projects for Thanksgiving and preparing for lunch. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • SIDS training • Criminal Background Checks • General health • Administration of medication • Storage of hazardous products • Storage of medication • General safety • General license requirements • Program records • License posted • Fire safety • Sanitation Limited monitoring of staff files was conducted in accordance with DCDEE procedures for the purpose of reviewing CPR and First Aid, EPR, SIDS training, Health and Safety trainings and Criminal Background Checks. The storage and administration of medications was monitored. Medication authorization was monitored. The storage of hazardous items was monitored. A fire drill was documented on 10-25-2023. A shelter in place drill was documented on 09-19-2023. An outdoor inspection was documented on 10-26-2023. This program does not provide transportation. The following violations were documented during this visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The lesson plan was dated for last week in space five. GS 110-91(12);.0508(a) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Today I provided Technical Assistance in the following areas: Ms. Thomas and I have discussed the Rated License today. She has asked me to call her when I have more information about the timelines and what percentage of staff education will be counted towards obtaining stars. I have told her that I will do call her. Ms. Thomas has asked that she be invited to any provider meetings and I have told her about the one on December 5, 2023. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I appreciated Ms. Williams’ time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 Kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at 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: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 7/24/2023 Number Present: 84 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space and meets enhanced ratios. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 07/24/2023 for Sunshine House. The program’s compliance history was 80% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, eating lunch and taking a nap. The last annual compliance visit was conducted on 08/09/2023. The last sanitation inspection was conducted on 01/04/2023. The last fire inspection was conducted on 03/14/2023. A fire drill was documented on 07/17/2023. A shelter in place drill was documented on 06/14/2023. An outdoor inspection was documented on 06/15/2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. I observed diaper cream, sunscreen and medicine in each classroom and all was labeled with current permission slips attached. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. There were not three different types of toys in the book centers in three classrooms. This was corrected when staff added puppets, writing instruments and letter/word puzzles/games to these areas. There was no paper in the art center in space 6. This was corrected when the teacher added paper to the area. GS 110-91(12);10A NCAC 09 .0509(1) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick up and delivery procedures were not posted where they could be seen by parents. This was posted during the visit. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Gallon size plastic storage bags, big enough to go over a child's head, were in reach of children in space 8 in the art center. This was disposed of during the visit. 10A NCAC 09 .0601(a) Ms. Williams has worked hard today to correct each violation as we discussed it. There is no letter due, as all violations were corrected during the visit. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: In each classroom with children ages 2 and up, there should be five activity centers with at least three different things to do. Of each of the toys or materials, there must be at least enough for three children to play if they all chose the same toy. Children must be able to reach all of the toys and equipment without asking the teacher for help. The ends of the slides on the lower playground are either underground or under mulch. This creates a situation where children are landing in a pile of mulch at the end of the slide, or there is standing water in the hole at the end of the slide that cannot drain. Today there was a puddle at least three inches deep of water that was standing at the end of one slide because of this. There is a crew of men here during my visit with heavy equipment, attempting to fix this situation. I have talked to the director and staff in rooms where teachers are required to take SIDS training about the form used to record infant sleep. I have told the staff that infants should be laid down to rest or sleep when they show signs of sleepiness, such as fussiness or rubbing their eyes. I observed all staff today putting infants in cribs when they showed signs of sleepiness and not before. I told staff that if an infant does not fall asleep fairly soon after being laid down and continues to cry, they should pick the child up again. I did not observe any instance of a staff person leaving a child to cry in a crib today, and no instance of a staff person allowing a child to cry for any long periods of time. I told staff that they should write down what time they lay a child down to sleep on their documentation sheet and the position in which they placed the child. An example would be that a person would write that they laid a child on their back in a crib at 10:05am. If a child is able to flip themselves on to their side or stomach, the staff person is not required to flip them back. In addition, as staff periodically check on children when they are sleeping, they should record the time of the check and the position of the child. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams time as assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at 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 .0509 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 7/24/2023 Number Present: 84 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space and meets enhanced ratios. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 07/24/2023 for Sunshine House. The program’s compliance history was 80% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, eating lunch and taking a nap. The last annual compliance visit was conducted on 08/09/2023. The last sanitation inspection was conducted on 01/04/2023. The last fire inspection was conducted on 03/14/2023. A fire drill was documented on 07/17/2023. A shelter in place drill was documented on 06/14/2023. An outdoor inspection was documented on 06/15/2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. I observed diaper cream, sunscreen and medicine in each classroom and all was labeled with current permission slips attached. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. There were not three different types of toys in the book centers in three classrooms. This was corrected when staff added puppets, writing instruments and letter/word puzzles/games to these areas. There was no paper in the art center in space 6. This was corrected when the teacher added paper to the area. GS 110-91(12);10A NCAC 09 .0509(1) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick up and delivery procedures were not posted where they could be seen by parents. This was posted during the visit. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Gallon size plastic storage bags, big enough to go over a child's head, were in reach of children in space 8 in the art center. This was disposed of during the visit. 10A NCAC 09 .0601(a) Ms. Williams has worked hard today to correct each violation as we discussed it. There is no letter due, as all violations were corrected during the visit. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: In each classroom with children ages 2 and up, there should be five activity centers with at least three different things to do. Of each of the toys or materials, there must be at least enough for three children to play if they all chose the same toy. Children must be able to reach all of the toys and equipment without asking the teacher for help. The ends of the slides on the lower playground are either underground or under mulch. This creates a situation where children are landing in a pile of mulch at the end of the slide, or there is standing water in the hole at the end of the slide that cannot drain. Today there was a puddle at least three inches deep of water that was standing at the end of one slide because of this. There is a crew of men here during my visit with heavy equipment, attempting to fix this situation. I have talked to the director and staff in rooms where teachers are required to take SIDS training about the form used to record infant sleep. I have told the staff that infants should be laid down to rest or sleep when they show signs of sleepiness, such as fussiness or rubbing their eyes. I observed all staff today putting infants in cribs when they showed signs of sleepiness and not before. I told staff that if an infant does not fall asleep fairly soon after being laid down and continues to cry, they should pick the child up again. I did not observe any instance of a staff person leaving a child to cry in a crib today, and no instance of a staff person allowing a child to cry for any long periods of time. I told staff that they should write down what time they lay a child down to sleep on their documentation sheet and the position in which they placed the child. An example would be that a person would write that they laid a child on their back in a crib at 10:05am. If a child is able to flip themselves on to their side or stomach, the staff person is not required to flip them back. In addition, as staff periodically check on children when they are sleeping, they should record the time of the check and the position of the child. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams time as assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: FOUNDATIONS EARLY LEARNING CENTER Facility ID: 34001283 Consultant: KELLY HEALY Operation Type: Center Case Number: Visit Date: 7/24/2023 Number Present: 84 Completed Date: 7/24/2023 Age: From 0 To 5 Total Minutes: 345 Time In: 10:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Tamara Williams, Director. This program currently operates with a Five Star license. Restrictions include daytime care only, meets enhanced space and meets enhanced ratios. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 07/24/2023 for Sunshine House. The program’s compliance history was 80% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. I monitored staff/child ratios and space capacity today, as is indicated on the attached worksheet. I observed proper supervision of children. During the visit I observed children playing indoors and outdoors, eating lunch and taking a nap. The last annual compliance visit was conducted on 08/09/2023. The last sanitation inspection was conducted on 01/04/2023. The last fire inspection was conducted on 03/14/2023. A fire drill was documented on 07/17/2023. A shelter in place drill was documented on 06/14/2023. An outdoor inspection was documented on 06/15/2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. I observed diaper cream, sunscreen and medicine in each classroom and all was labeled with current permission slips attached. This program does not provide transportation. I documented the following violations during today’s visit: Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. There were not three different types of toys in the book centers in three classrooms. This was corrected when staff added puppets, writing instruments and letter/word puzzles/games to these areas. There was no paper in the art center in space 6. This was corrected when the teacher added paper to the area. GS 110-91(12);10A NCAC 09 .0509(1) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe pick up and delivery procedures were not posted where they could be seen by parents. This was posted during the visit. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Gallon size plastic storage bags, big enough to go over a child's head, were in reach of children in space 8 in the art center. This was disposed of during the visit. 10A NCAC 09 .0601(a) Ms. Williams has worked hard today to correct each violation as we discussed it. There is no letter due, as all violations were corrected during the visit. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: In each classroom with children ages 2 and up, there should be five activity centers with at least three different things to do. Of each of the toys or materials, there must be at least enough for three children to play if they all chose the same toy. Children must be able to reach all of the toys and equipment without asking the teacher for help. The ends of the slides on the lower playground are either underground or under mulch. This creates a situation where children are landing in a pile of mulch at the end of the slide, or there is standing water in the hole at the end of the slide that cannot drain. Today there was a puddle at least three inches deep of water that was standing at the end of one slide because of this. There is a crew of men here during my visit with heavy equipment, attempting to fix this situation. I have talked to the director and staff in rooms where teachers are required to take SIDS training about the form used to record infant sleep. I have told the staff that infants should be laid down to rest or sleep when they show signs of sleepiness, such as fussiness or rubbing their eyes. I observed all staff today putting infants in cribs when they showed signs of sleepiness and not before. I told staff that if an infant does not fall asleep fairly soon after being laid down and continues to cry, they should pick the child up again. I did not observe any instance of a staff person leaving a child to cry in a crib today, and no instance of a staff person allowing a child to cry for any long periods of time. I told staff that they should write down what time they lay a child down to sleep on their documentation sheet and the position in which they placed the child. An example would be that a person would write that they laid a child on their back in a crib at 10:05am. If a child is able to flip themselves on to their side or stomach, the staff person is not required to flip them back. In addition, as staff periodically check on children when they are sleeping, they should record the time of the check and the position of the child. I have reviewed this visit summary with Ms. Williams at the conclusion of the visit and a copy was given to her. I have appreciated Ms. Williams time as assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at 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