Ibraham Elementary Pre-K Program

10A NCAC 09 .0604 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 12 Completed Date: 2/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 08:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 217 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Mrs. Alicia Gorman, Lead Teacher. Mrs. Laquetta Williams, WSFCS Licensing Specialist, was also present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in circle time, conversations and activities with their teachers, celebrating 100 Days of School and eating breakfast during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/11/2025. A sanitation inspection was completed 11/07/2025 with a Superior classification. The last fire inspection was conducted on 9/05/2025. Program records and required postings were monitored. A fire drill was conducted on 1/14/26. A shelter-in-place drill was documented on 12/04/25. An outdoor inspection was documented on 1/06/25. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Mrs. Gorman shared she would email me a copy of this completed tool once she locates it. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Alicia Gorman and teacher, Shannon White. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February (this month). The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The application for one child enrolled was not observed to be signed by a parent. 10A NCAC 09 .0801(a) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/23/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. It is imperative for the indoor environment to be a place for children to safely engage with and explore at all times. Today was the first day this facility was able to reopen since inclement weather began at the end of January, and both staff members were unsure why this canister was out on the floor. A staff member placed this canister into locked storage during the visit. The application for one child enrolled was not observed to be signed by a parent. It is important for all child files to be current and complete at all times to ensure the health, safety, and best quality of care for children enrolled. Mrs. Gorman shared this was accidentally overlooked and that she would have the parent sign this application upon pickup today. Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman and Ms. Williams during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for unused outlets Please remove Ms. Campbell’s name from the ABCMS system. 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, 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. Williams stated all DPI programs with licensed NCPK classrooms will be choosing Pathway 1, Program Assessment and that each site will undergo an Outreach Assessment in 2026. She further stated this facility will likely complete the RL process in the spring of 2027. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 12 Completed Date: 2/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 08:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 217 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Mrs. Alicia Gorman, Lead Teacher. Mrs. Laquetta Williams, WSFCS Licensing Specialist, was also present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in circle time, conversations and activities with their teachers, celebrating 100 Days of School and eating breakfast during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/11/2025. A sanitation inspection was completed 11/07/2025 with a Superior classification. The last fire inspection was conducted on 9/05/2025. Program records and required postings were monitored. A fire drill was conducted on 1/14/26. A shelter-in-place drill was documented on 12/04/25. An outdoor inspection was documented on 1/06/25. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Mrs. Gorman shared she would email me a copy of this completed tool once she locates it. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Alicia Gorman and teacher, Shannon White. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February (this month). The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The application for one child enrolled was not observed to be signed by a parent. 10A NCAC 09 .0801(a) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/23/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. It is imperative for the indoor environment to be a place for children to safely engage with and explore at all times. Today was the first day this facility was able to reopen since inclement weather began at the end of January, and both staff members were unsure why this canister was out on the floor. A staff member placed this canister into locked storage during the visit. The application for one child enrolled was not observed to be signed by a parent. It is important for all child files to be current and complete at all times to ensure the health, safety, and best quality of care for children enrolled. Mrs. Gorman shared this was accidentally overlooked and that she would have the parent sign this application upon pickup today. Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman and Ms. Williams during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for unused outlets Please remove Ms. Campbell’s name from the ABCMS system. 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, 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. Williams stated all DPI programs with licensed NCPK classrooms will be choosing Pathway 1, Program Assessment and that each site will undergo an Outreach Assessment in 2026. She further stated this facility will likely complete the RL process in the spring of 2027. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/9/2026 Number Present: 12 Completed Date: 2/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 08:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Room 217 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Mrs. Alicia Gorman, Lead Teacher. Mrs. Laquetta Williams, WSFCS Licensing Specialist, was also present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in circle time, conversations and activities with their teachers, celebrating 100 Days of School and eating breakfast during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/11/2025. A sanitation inspection was completed 11/07/2025 with a Superior classification. The last fire inspection was conducted on 9/05/2025. Program records and required postings were monitored. A fire drill was conducted on 1/14/26. A shelter-in-place drill was documented on 12/04/25. An outdoor inspection was documented on 1/06/25. Staff files and children’s records were monitored per DCDEE procedures. No new staff members were reported. The file for one existing staff member was monitored during the visit. The files for two children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours. Storage and administration of medication and medication authorization were monitored. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Mrs. Gorman shared she would email me a copy of this completed tool once she locates it. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teacher, Alicia Gorman and teacher, Shannon White. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in February (this month). The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/13/2025. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The application for one child enrolled was not observed to be signed by a parent. 10A NCAC 09 .0801(a) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/23/2026. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed on the floor next to a child-size table in unlocked storage. It is imperative for the indoor environment to be a place for children to safely engage with and explore at all times. Today was the first day this facility was able to reopen since inclement weather began at the end of January, and both staff members were unsure why this canister was out on the floor. A staff member placed this canister into locked storage during the visit. The application for one child enrolled was not observed to be signed by a parent. It is important for all child files to be current and complete at all times to ensure the health, safety, and best quality of care for children enrolled. Mrs. Gorman shared this was accidentally overlooked and that she would have the parent sign this application upon pickup today. Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman and Ms. Williams during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) regarding safety covers for unused outlets Please remove Ms. Campbell’s name from the ABCMS system. 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, 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. Williams stated all DPI programs with licensed NCPK classrooms will be choosing Pathway 1, Program Assessment and that each site will undergo an Outreach Assessment in 2026. She further stated this facility will likely complete the RL process in the spring of 2027. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/27/2025 Number Present: 9 Completed Date: 8/27/2025 Age: From 4 To 4 Total Minutes: 130 Time In: 10:35 AM Time Out: 12:45 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 Alicia Gorman, Lead Teacher. Laquetta Williams, WSFCS Licensing Specialist, was also present during the visit. Your program currently operates with a 5-Star license effective 6/19/2024. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The program’s compliance history was 84% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaging in conversations and activities with their teachers and in centers, participating in general routines, and eating lunch. One new staff member was reported at this program. The file for this staff member was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Criminal Background Checks. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/12/2025. A fire drill was recorded 8/19/2025. The most recent lockdown and shelter-in-place drills for the facility was conducted in May, 2025 (the last month of the 2024/2025 school year). Ms. Gorman stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 8/19/2025. I observed a sanitation inspection was last conducted on 2/04/2025 earning a Superior classification. The program does not participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. One new employee, with a start date of 8/05/2025, was not linked to the facility's profile in ABCMS. G.S. 110-90.2 & .2703(r) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization form for one child enrolled in Room 217 with an emergency medication did not include the subject medical condition or allergic reaction or the criteria for administration of the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Consultation Provided During Visit: Please review all medication authorization forms and medical action plans received for children thoroughly for children enrolled prior to accepting medication from a parent to ensure all required information is complete and accurate on each form. Public School Off-Site Records Verification forms should be signed by the school designee responsible prior to the school year beginning. 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 .0803 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 32 Completed Date: 5/13/2025 Age: From 4 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 Alicia Gorman, Lead Teacher. Principal, N-Kenga Reich, was also onsite during the visit and present during the review of this visit summary. Your program currently operates with a 5-Star license effective 6/19/2024. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • 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, participating in individualized and group activities, engaging in general routines, eating lunch, and napping during the visit. One new staff member was reported at this program. One substitute staff member, D. Knight, was present during the visit assisting the teacher assistant in Space 2 (Room 219). Another staff member serving as a substitute, D. Whitson, replaced Ms. Knight in Space 2 (Room 219) during the visit. The files for each of these new and/or substitute staff members were monitored per DCDEE procedures during the visit. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 5/05/2025. A fire drill was recorded 4/16/2025. A lockdown drill for the facility was recorded 3/25/2025. The most recent fire inspection was on 2/04/2025. I observed a sanitation inspection was last conducted on 5/08/2025 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 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. One small bottle of liquid correction fluid labeled Keep Out of Reach of Children with additional warnings was observed inside a small set of plastic drawers located less than five feet from the ground and in unlocked storage in Space 2 (Room 219). Also, in Space 2, a canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked staff desk drawer less than five feet from the ground. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. A substitute staff member caring for children in Space 2 (Room 219), Ms. D. Knight, did not have a DCDEE Criminal Background Check Qualification. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. Two substitute files (for subs serving in Space 2, Room 219) were not complete and onsite for review during today’s visit. .2318(1-8) 1775 NC Pre-K program staff/child ratios and group sizes were not met. One substitute staff member serving in Space 2 (Room 219), was observed to leave the classroom for approximately five minutes to use the restroom during the visit, leaving the Assistant Teacher alone with a total of fifteen (15) children, four (4) children four years of age and eleven (11) children five years of age. .3009 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/27/25. 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. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements and staff: child ratios. Technical Assistance Provided During Visit: The initial substitute staff member caring for children in Space 2 (Room 219), Ms. D. Knight, did not have a DCDEE Criminal Background Check Qualification. Another staff member for the facility, Ms. D. Whitson, replaced Ms. Knight in Space 2 during the visit. It is imperative for required substitute Criminal Background Checks to be completed and current at all times to ensure the safety of children enrolled. You may consider ensuring each substitute staff member’s CBC qualification letter is completed and valid before the substitute enters the classroom. You may also consider choosing one or more consistent staff members who currently work onsite to have a complete and current substitute file to serve as a qualified substitute for Pre-K if necessary. 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. Reich confirmed she received the instructions I sent via email to complete this process. I also forwarded each of these emails to Ms. Gorman during the visit. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Two substitute files (for subs serving in Space 2, Room 219) were not complete and onsite for review during today’s visit. It is imperative for all substitute staff to have a current and complete file onsite for review to ensure the health, safety, and quality of care for children enrolled. A Substitute Staff File Checklist was provided to and reviewed with Ms. Reich during the visit. One substitute staff member serving in Space 2 (Room 219), was observed to leave the classroom for approximately five minutes to use the restroom during the visit, leaving the Assistant Teacher alone with a total of fifteen (15) children, four (4) children four years of age and eleven (11) children five years of age. I discussed the staff: child ratio requirements for NC Pre-K with the substitute when she returned to the classroom. It is critical for staff: child ratios to be maintained at all times for the safety of children enrolled. You may consider reminding all substitutes who serve in NC Pre-K of staff: ratio requirements prior to their service in the classroom. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Reich and Ms. Gorman during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)(d) related to the criteria for the administration of the medication being recorded on medication authorization forms. Substitute staff should be engaged with the children, not their cell phones while assisting staff in NC Pre-K classrooms, as this can present a potential supervision issue. Please ensure a current lesson plan is posted in each classroom at all times; the current posted activity plan posted in Space 2 (Room 219) was dated 4/14/25 – 4/18/2025. The Criminal Background Check Qualification letter for one staff member expires on 10/01/2025; be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. 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: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 5/13/2025 Number Present: 32 Completed Date: 5/13/2025 Age: From 4 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 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 Alicia Gorman, Lead Teacher. Principal, N-Kenga Reich, was also onsite during the visit and present during the review of this visit summary. Your program currently operates with a 5-Star license effective 6/19/2024. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • 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, participating in individualized and group activities, engaging in general routines, eating lunch, and napping during the visit. One new staff member was reported at this program. One substitute staff member, D. Knight, was present during the visit assisting the teacher assistant in Space 2 (Room 219). Another staff member serving as a substitute, D. Whitson, replaced Ms. Knight in Space 2 (Room 219) during the visit. The files for each of these new and/or substitute staff members were monitored per DCDEE procedures during the visit. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today. The most recent playground inspection was recorded 5/05/2025. A fire drill was recorded 4/16/2025. A lockdown drill for the facility was recorded 3/25/2025. The most recent fire inspection was on 2/04/2025. I observed a sanitation inspection was last conducted on 5/08/2025 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 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. One small bottle of liquid correction fluid labeled Keep Out of Reach of Children with additional warnings was observed inside a small set of plastic drawers located less than five feet from the ground and in unlocked storage in Space 2 (Room 219). Also, in Space 2, a canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed inside an unlocked staff desk drawer less than five feet from the ground. .2820(b) 1041 Prior to employment a Criminal Background Check was not completed. A substitute staff member caring for children in Space 2 (Room 219), Ms. D. Knight, did not have a DCDEE Criminal Background Check Qualification. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. Two substitute files (for subs serving in Space 2, Room 219) were not complete and onsite for review during today’s visit. .2318(1-8) 1775 NC Pre-K program staff/child ratios and group sizes were not met. One substitute staff member serving in Space 2 (Room 219), was observed to leave the classroom for approximately five minutes to use the restroom during the visit, leaving the Assistant Teacher alone with a total of fifteen (15) children, four (4) children four years of age and eleven (11) children five years of age. .3009 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, staff CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 5/27/25. 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. An unannounced follow-up visit will be conducted to monitor Criminal Background Check requirements and staff: child ratios. Technical Assistance Provided During Visit: The initial substitute staff member caring for children in Space 2 (Room 219), Ms. D. Knight, did not have a DCDEE Criminal Background Check Qualification. Another staff member for the facility, Ms. D. Whitson, replaced Ms. Knight in Space 2 during the visit. It is imperative for required substitute Criminal Background Checks to be completed and current at all times to ensure the safety of children enrolled. You may consider ensuring each substitute staff member’s CBC qualification letter is completed and valid before the substitute enters the classroom. You may also consider choosing one or more consistent staff members who currently work onsite to have a complete and current substitute file to serve as a qualified substitute for Pre-K if necessary. 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. Reich confirmed she received the instructions I sent via email to complete this process. I also forwarded each of these emails to Ms. Gorman during the visit. If you need additional assistance, please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Two substitute files (for subs serving in Space 2, Room 219) were not complete and onsite for review during today’s visit. It is imperative for all substitute staff to have a current and complete file onsite for review to ensure the health, safety, and quality of care for children enrolled. A Substitute Staff File Checklist was provided to and reviewed with Ms. Reich during the visit. One substitute staff member serving in Space 2 (Room 219), was observed to leave the classroom for approximately five minutes to use the restroom during the visit, leaving the Assistant Teacher alone with a total of fifteen (15) children, four (4) children four years of age and eleven (11) children five years of age. I discussed the staff: child ratio requirements for NC Pre-K with the substitute when she returned to the classroom. It is critical for staff: child ratios to be maintained at all times for the safety of children enrolled. You may consider reminding all substitutes who serve in NC Pre-K of staff: ratio requirements prior to their service in the classroom. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Reich and Ms. Gorman during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6)(d) related to the criteria for the administration of the medication being recorded on medication authorization forms. Substitute staff should be engaged with the children, not their cell phones while assisting staff in NC Pre-K classrooms, as this can present a potential supervision issue. Please ensure a current lesson plan is posted in each classroom at all times; the current posted activity plan posted in Space 2 (Room 219) was dated 4/14/25 – 4/18/2025. The Criminal Background Check Qualification letter for one staff member expires on 10/01/2025; be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. 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 .0102 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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 .0302 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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 .2703 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-86 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 22 Completed Date: 2/11/2025 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 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 annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Alicia Gorman, Lead Teacher. Lead Teacher, Ms. Ashley Fraser (Room 219), was not present during the visit. Ms. Cheyenne Moore, short-term substitute, was in the classroom helping Ms. Gore, Teacher. Ms. Reich, Principal, and Ms. Crump, Instructional Coach, were also present during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 87% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 12/06/2024 with a Superior classification. The last fire inspection was conducted on 2/04/2025. A copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 1/27/25. A shelter-in-place drill was documented on 12/09/24. An outdoor inspection was documented on 1/16/25. Staff files and children’s records were monitored per DCDEE procedures. The files for two new staff members (one lead teacher and one principal) and one existing staff member were monitored during the visit. The file for one short- term substitute could not be monitored today. The files for four children enrolled were monitored during the visit. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours. Ms. Gorman stated the program does not provide transportation to children in licensed classrooms at this time, or participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Edition 3 is used as a screening tool. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents participate in home visits, individual parent meetings, Open House, Orientation, and parent projects sent home throughout the year. Parents are invited to Curriculum Nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held three times per year, and an onsite orientation with parents when children register. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie. Teachers reach out to parents by the third day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The completed NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Ashley Fraser and teachers, Shannon White and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were onsite for review during the visit and monitored. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the next checkpoints for students enrolled will be completed in April/May. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, January, and April/May). The first day of school was 8/12/2024. The Environment Rating Scale score received for the permit dated 6/19/2024 was 6.39. 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. The time of arrival for one child enrolled in Room 219 was not recorded. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219. GS 110-91(12);.0508(a) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A screen time log was not available for review in Room 219. .0510(d)(2)(A-C) 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. One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. .2820(b) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information for the administrator was not observed on file for review. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One short-term substitute and the principal did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. G.S. 110-90.2(b) 1739 All records required were not available for review by a representative of the Division. A substitute file for was not available for review during the visit. .2318(1-8) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2025. 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: One prescription medication for a child enrolled in Room 217 was observed to be stored greater than five feet from the ground, but in unlocked storage. A staff member placed this medication into locked storage during the visit. A lesson plan dated 2/03/25 – 2/07/25 was observed posted in Room 219; a current copy of the lesson plan was posted during the visit. The time of arrival for one child enrolled in Room 219 was not recorded; this time was recorded during the visit. Emergency information for the administrator was not observed on file for review; this was completed and placed on file during the visit. One short-term substitute, C. Moore, and the principal, Ms. N. Reich, did not have a valid Criminal Background Check. The short-term substitute was removed from Room 219 during the visit. I emailed Ms. Reich resources and instructions for completing this CBC prior to my visit on 2/05/25. I also stated to Ms. Reich she may not visit Rooms 217 and 219 until she has a valid DCDEE Criminal Background Check Qualification Letter on file. Ms. Reich began the CBC process during the visit. A substitute file for was not available for review during the visit. The medication authorization form for one child enrolled in Room 219 did not include the subject medical conditions or allergic reactions or the criteria for the administration of the medication. A screen time log was not available for review in Room 219; the teacher reported screen time is used for 30 minutes per day. It is imperative that all records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Gorman stated she was not aware these forms were not accurate or that they were not on file. A Substitute Staff File checklist was provided to Ms. Gorman during the visit. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider creating a routine system for monitoring all staff and substitute Criminal Background Checks and files using the Staff File Checklist and Substitute File Checklist available on the Division website at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d and https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=BCQP6yE6k5GvtV_cNXh7OQ%3d%3d Consultation Provided During Visit: The following General Statutes and Child Care Rules were reviewed with Ms. Gorman during the visit: § 110-90.2. Mandatory child care providers' criminal history checks. (a) For purposes of this section: (1) "Child care", notwithstanding the definition in G.S. 110-86, means any child care provided in child care facilities required to be licensed or regulated under this Article and non-licensed child care homes approved to receive or receiving State or federal funds for providing child care. (2) "Child care provider" means a person who: a. Is employed by or seeks to be employed by a child care facility providing child care as defined in subdivision (1) of this subsection, whether in temporary or permanent capacity, including substitute providers; (b) The Department shall ensure that, prior to employment and every five years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. 10A NCAC 09 .0102 DEFINITIONS The terms and phrases used in this Chapter are defined as follows: (46) "Staff" or "staff member" as used in this Chapter includes child care providers, substitute providers, and uncompensated providers. Volunteers, as defined in this Rule, are not staff members. (47) "Substitute provider" means any person who temporarily assumes the duties of a staff person for a time period not to exceed two consecutive months and may or may not be monetarily compensated by the facility. Any substitute provider must be at least 18 years of age and literate. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS In addition to the requirements in Rules .0302 and .1702 of this Chapter, a child care provider, as defined in G.S. 110-90.2, shall submit the following to the Division prior to the issuance of a license or prior to beginning employment: (1) any forms required by the State Bureau of Investigation or Federal Bureau of Investigation to process a state and national fingerprint check as required by G.S. 110-90.2; and (2) fingerprint impressions submitted on an FD-258 applicant fingerprint card or other form required by the Division and State Bureau of Investigation; (3) any applicant who has lived outside of North Carolina in the previous five years, shall submit an affidavit attesting that the applicant has requested a background check from: the state criminal registry or repository, with use of fingerprints, the state sex offender registry or repository, and the state-based child abuse and neglect registry and database for each state in which the applicant has lived, at any time and for whatever length of time, within the five years preceding the application. All forms referenced in this Paragraph are available through the Automated Background Check Management System (ABCMS) at https://ncabcms.nc.gov/DCDEE/Applicant/ Please submit Principal’s Licensure documentation to DCDEE Works for N’Kenga Reich. You can access the following links for support with this process: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/W/WORKS_Registration_Job_Aid_Final_DEC23.pdf?ver=Njb6B1qJCgnonbvin5J8lA%3d%3d and https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Please ensure a copy of the principal’s ongoing training hours and date she was trained on the School’s Risk Management Plan is on file for review. Please consider adding additional materials to the art and blocks centers in Room 219. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 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: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 28 Completed Date: 6/3/2024 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced An announced rated license assessment visit was conducted at this childcare center to monitor applicable child care requirements, to review the results of your Environmental Rating Scale (ERS), and to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Alicia Gorman and Zinnia Studevent, Lead Teachers. Today, the following items were monitored: • Supervision • S/C Ratio • Adequate/ Approved Space • CPR / First Aid • Storage of Hazardous Products • Storage of Medication • Staff Records • Program Records • License Posted • Permit Restrictions • Special Training Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 3/07/2024 with a Superior classification. The last fire inspection was conducted 2/06/2024; a copy of this inspection was provided to me during the visit. Staff/child ratio was observed and was in compliance as indicated on the attached worksheet. Children were adequately supervised during today's visit. The last fire drill was conducted on 5/03/2024. A shelter-in-place drill was conducted 5/16/2024. A playground inspection was conducted 5/13/2024. Storage of medication was monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. You submitted your application for the Rated License Assessment Request during your Preparation Year. An ERS was conducted on 5/21/2024 with a 6.39 score on the ECERS-R. The report was received on 5/23/2024 and a copy was reviewed with and provided to Ms. Gorman and Ms. Studevent during the visit. ERS summaries were reviewed today, and items scoring less than a three could constitute a violation of child care requirements and were therefore monitored. These items are noted below: ECERS-R assessment – May 21, 2024 – (A. Gorman) Total score – 6.39 Item 14 Indicator: 3.1 (see pages 32-33 in the ECERS-R) Assessor Comments: There were no safety concerns outdoors. Indoors, there were instances when a teacher sprayed a table with sanitizer as a child sat or stood next to the table. The mist from the sanitizer is a potential eye/lung irritant for young children. Provider Comments: Ms. Studevent stated on the day of the assessment, children enrolled stated they were hungry between breakfast and lunch. A morning snack is not typically served; however, teachers provided the children a snack at this time. Ms. Studevent stated the process for cleaning and sanitizing tables was and has been reviewed with all classroom staff, inclusive of the process to follow when unexpected changes in the typical schedule occur. Observations Today: During today's visit, I observed the Teacher Assistant clean and sanitize each table for lunch while children sat on the carpet in a part of the classroom, away from this area, listening to a story read by the Lead Teacher. I discussed with Ms. Gorman and Ms. Studevent strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-R for teachers to access further information. You are eligible for a new 5-Star License; this is based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator meets 7 points in education. The Lead Teachers meet 7 points, respectively, in education. Teachers meet 7 points in education. Based on the information noted above, your program earned 7 points in the Education component. • Program Standards: The program meets requirements in Rule .2806, enhanced ratios, enhanced space, and scoring a 5.0 or higher on the ERS. The ECERS was administered on 5/21/2024. The assessment report was reviewed during a rated license visit on 6/03/2024. The scores are as follows: ECERS – 6.39. This facility will earn 7 points in this component. • Quality Point: You have chosen to meet 75% of lead teachers have a BA/BS or higher in early childhood education or child development. I have verified the education for each Lead Teacher in DCDEE Works; therefore, your program earned 1 Quality Point. • Total: 7 + 7 + 1 = 15 = 5 Star License. Upon approval from the DCDEE, a 5-Star license will be issued. The new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. The following violation was cited during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The CPR/FA certification on file for one staff member was not completed through an approved agency; the certification was completed through the National Health & Safety Association. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: The CPR/FA certification on file for one staff member was not completed through an approved agency; the certification was completed through the National Health & Safety Association. It is important to complete all training through a DCDEE approved agency or organization; this ensures all required content is covered during each training. Ms. Studevent stated she was unaware the National Health & Safety Association was not a DCDEE approved training agency. You can access a list of all DCDEE approved CPR/FA training agencies and organizations at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022%20(1).pdf?ver=8LaabqtKa9JzfMR_Be60qA%3d%3d . I also emailed this link to Ms. Studevent for easy reference. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rule was reviewed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) We discussed the operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. You may reach out to Child Care Health Consultant, Keturah Oglesby via the contact information emailed to you during the visit for additional information regarding CPR/FA training. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 28 Completed Date: 6/3/2024 Age: From 4 To 5 Total Minutes: 295 Time In: 08:35 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced An announced rated license assessment visit was conducted at this childcare center to monitor applicable child care requirements, to review the results of your Environmental Rating Scale (ERS), and to finalize your rated license assessment. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Alicia Gorman and Zinnia Studevent, Lead Teachers. Today, the following items were monitored: • Supervision • S/C Ratio • Adequate/ Approved Space • CPR / First Aid • Storage of Hazardous Products • Storage of Medication • Staff Records • Program Records • License Posted • Permit Restrictions • Special Training Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The last annual compliance visit was conducted on 2/21/2024. A sanitation inspection was completed 3/07/2024 with a Superior classification. The last fire inspection was conducted 2/06/2024; a copy of this inspection was provided to me during the visit. Staff/child ratio was observed and was in compliance as indicated on the attached worksheet. Children were adequately supervised during today's visit. The last fire drill was conducted on 5/03/2024. A shelter-in-place drill was conducted 5/16/2024. A playground inspection was conducted 5/13/2024. Storage of medication was monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. You submitted your application for the Rated License Assessment Request during your Preparation Year. An ERS was conducted on 5/21/2024 with a 6.39 score on the ECERS-R. The report was received on 5/23/2024 and a copy was reviewed with and provided to Ms. Gorman and Ms. Studevent during the visit. ERS summaries were reviewed today, and items scoring less than a three could constitute a violation of child care requirements and were therefore monitored. These items are noted below: ECERS-R assessment – May 21, 2024 – (A. Gorman) Total score – 6.39 Item 14 Indicator: 3.1 (see pages 32-33 in the ECERS-R) Assessor Comments: There were no safety concerns outdoors. Indoors, there were instances when a teacher sprayed a table with sanitizer as a child sat or stood next to the table. The mist from the sanitizer is a potential eye/lung irritant for young children. Provider Comments: Ms. Studevent stated on the day of the assessment, children enrolled stated they were hungry between breakfast and lunch. A morning snack is not typically served; however, teachers provided the children a snack at this time. Ms. Studevent stated the process for cleaning and sanitizing tables was and has been reviewed with all classroom staff, inclusive of the process to follow when unexpected changes in the typical schedule occur. Observations Today: During today's visit, I observed the Teacher Assistant clean and sanitize each table for lunch while children sat on the carpet in a part of the classroom, away from this area, listening to a story read by the Lead Teacher. I discussed with Ms. Gorman and Ms. Studevent strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-R for teachers to access further information. You are eligible for a new 5-Star License; this is based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator meets 7 points in education. The Lead Teachers meet 7 points, respectively, in education. Teachers meet 7 points in education. Based on the information noted above, your program earned 7 points in the Education component. • Program Standards: The program meets requirements in Rule .2806, enhanced ratios, enhanced space, and scoring a 5.0 or higher on the ERS. The ECERS was administered on 5/21/2024. The assessment report was reviewed during a rated license visit on 6/03/2024. The scores are as follows: ECERS – 6.39. This facility will earn 7 points in this component. • Quality Point: You have chosen to meet 75% of lead teachers have a BA/BS or higher in early childhood education or child development. I have verified the education for each Lead Teacher in DCDEE Works; therefore, your program earned 1 Quality Point. • Total: 7 + 7 + 1 = 15 = 5 Star License. Upon approval from the DCDEE, a 5-Star license will be issued. The new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. The following violation was cited during today’s visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The CPR/FA certification on file for one staff member was not completed through an approved agency; the certification was completed through the National Health & Safety Association. .1102(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 6/17/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: The CPR/FA certification on file for one staff member was not completed through an approved agency; the certification was completed through the National Health & Safety Association. It is important to complete all training through a DCDEE approved agency or organization; this ensures all required content is covered during each training. Ms. Studevent stated she was unaware the National Health & Safety Association was not a DCDEE approved training agency. You can access a list of all DCDEE approved CPR/FA training agencies and organizations at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/cpr_first_aid_information_Revised_2022%20(1).pdf?ver=8LaabqtKa9JzfMR_Be60qA%3d%3d . I also emailed this link to Ms. Studevent for easy reference. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. The following Child Care Rule was reviewed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) We discussed the operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. You may reach out to Child Care Health Consultant, Keturah Oglesby via the contact information emailed to you during the visit for additional information regarding CPR/FA training. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were 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: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1003 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 33 Completed Date: 2/21/2024 Age: From 4 To 5 Total Minutes: 430 Time In: 08:20 AM Time Out: 03:30 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, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 217 and 219 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Zinnia Studevent, Lead Teacher and Shannon White, Assistant Teacher. Principal, Tamatha Fullerwinder, was also onsite during the visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 4/10/2023. A sanitation inspection was completed 11/29/2023 with a Superior classification. The last fire inspection was conducted on 2/17/2023. Program records and required postings were monitored. A fire drill was conducted on 1/29/2024. A lockdown drill was documented on 1/31/2024. An outdoor inspection was documented on 2/08/2024. Staff files and children’s records were monitored per DCDEE procedures. Substitute teacher, Tameka Whitaker, was present in Room 217 during the visit, but did not have a Criminal Background Check completed through the DCDEE. Another staff member at the facility who had a current CBC Qualifying Letter valid through August, 2024 replaced the substitute staff member in Room 217 during the visit. A signed record of annual review of the Emergency Medical Care Plan was not observed on file; this was corrected during the visit. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file; this was corrected during the visit. One child enrolled in Space 219 is currently transported to and from the facility daily via Bus #481. The Public School Offsite Records Verification forms for Transportation and the Requirements for Preschoolers on Public School Buses forms were not complete. The School Bus Driver Responsibilities and Procedures Orientation form was not signed and on file. Staff and administration reported the bus driver refused to sign the form. Bus #481 was not able to be monitored today because the buses are not kept onsite during the school day. Storage of hazardous items was monitored today and found to be in compliance. Two children enrolled were reported to take medication during facility operating hours; all required documentation for medication was monitored during the visit. The program does not participate in off-premise activities or aquatic activities. Your program was also monitored for compliance with implementing an approved curriculum as required for all Four- and Five- Star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum and uses the Teaching Strategies Gold activity plan format. Ages and Stages Questionnaires, Editions 2 and 3 are used as screening tools. Family services offered include parents volunteering to donate items for class celebrations and curriculum activities. Parents are invited to Curriculum nights, to visit the classroom to share any special skills or talents they have, and to participate in End-of-Study planned activities. Parent/teacher conferences are held twice per year, and an onsite orientation with parents is held at the beginning of the school year. Regular home projects are provided for families to engage in and complete together, and the program uses Ready Rosie and Ready Freddy. Teachers reach out to parents on the first day a child is absent to find out the reason for the absence. Teachers also send monthly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today; Ms. Studevent stated she would email me a copy of this completed tool following the visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The current NC Pre-K staff are lead teachers, Alicia Gorman and Zinnia Perez and teachers, Shannon Bishop and Erica Gore. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be complete to date. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/28/2023. The environment rating scale score received on 2/26/2019 was 5.49. The following violations were cited during today’s visit: Violation Number Comment Rule 124 The center did not maintain records as required in rule, and/or were not made available to the Division for review. The employee file for the substitute in Room 217 was not onsite for review. G.S. 110-91(9); .0304(g); .2318 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member in Room 219 was observed to not wash her hands after blowing her nose. 15A NCAC 18A .2803(a) 847 Parent's medication authorization did not include required information. The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. A signed record of annual review of the Emergency Medical Care Plan was not observed on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. A substitute teacher was present in Room 217 during the visit who did not have a Criminal Background Check completed through the DCDEE. G.S. 110-90.2(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. The annual Health Questionnaire for one new employee was not maintained separately from the staff member’s individual personnel file. .0701(d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 3/06/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: The medication authorization form for one child enrolled in space 217 did not have a medical condition or allergic reaction recorded or a frequency of dosage. The medication authorization form for one child enrolled in Room 217 did not have a recorded length of time for which the form (completed on 11/04/2024) was valid. The medication authorization form for one child enrolled in Room 219 did not have a recorded length of time for which the form (completed on 10/19/2023) was valid. The medical action plan for one child enrolled in Room 219 did not contain a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; contact information for the child's health care professional(s); medications to be administered on a scheduled basis; and medications to be administered on an emergency basis with symptoms, and instructions. The employee file for the substitute in Room 217 was not onsite for review. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. I shared with Ms. Fullerwinder she can access the File Checklist for Substitutes on the Division website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Substitutes_Centers.pdf?ver=jxUZG6d7ImUawdqrbmwZjw%3d%3d . One staff member in Room 219 was observed to not wash her hands after blowing her nose. It is important to practice required handwashing routines to reduce the risk of spreading germs and/or infectious diseases. I thoroughly reviewed Child Care Sanitation Rule 15A NCAC 18A .2803 HANDWASHING with classroom staff members during the visit. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Studevent during the visit: 10A NCAC 09 .1003 SAFE PROCEDURES (b) (l) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check Qualifying Letter.: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please be reminded Ms. Gore must complete her First Aid skills session online prior to 4/16/2024. Please be reminded your facility is in cohort one. Throughout the next few months, I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, the Division will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were 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 .0302 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 27 Completed Date: 9/13/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:45 AM Time Out: 01:45 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. You, Alicia Gorman and Zinnia Studevent, assisted me with the visit. Your program currently operates with a 5-Star license effective April 24, 2020. Restrictions include 1st shift care and meets all enhanced standards, plus reduced ratios minus one. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. One child enrolled was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. A record of Staff Orientation was not observed on file for this staff member. The staff member stated this document is kept on file at the County Office; however, a Public School Off-Site Records Verification Form was not on file for review. No medications were reported, nor observed during the visit. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 8/28/2023. A fire drill was recorded on 8/31/2023. The most recent lockdown drill for the facility was recorded on 3/08/2023. The most recent fire inspection was completed on 5/09/2023. I observed a sanitation inspection was last conducted on 2/07/2023 earning a Superior classification. Ms. Gorman and Ms. Studevent stated the program does currently provide transportation, but that no children enrolled in the Pre-K classrooms are being transported. The facility does not participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was recorded for one child enrolled. 10A NCAC 09 .0302(d)(4) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was completed on 3/08/2023. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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 today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding the playground for developing rust. • Please ensure tobacco restriction signs are posted at the entrance of the building used by children of preschool age. • If staff records are kept offsite at the County Office, a Public School Off-Site Records Verification Form must be completed and on file with the principal, all Pre-K substitutes, and all Pre-K staff. - Be reminded that lockdown/ shelter-in-place drills must be completed every three months. 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 27 Completed Date: 9/13/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:45 AM Time Out: 01:45 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. You, Alicia Gorman and Zinnia Studevent, assisted me with the visit. Your program currently operates with a 5-Star license effective April 24, 2020. Restrictions include 1st shift care and meets all enhanced standards, plus reduced ratios minus one. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. One child enrolled was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. A record of Staff Orientation was not observed on file for this staff member. The staff member stated this document is kept on file at the County Office; however, a Public School Off-Site Records Verification Form was not on file for review. No medications were reported, nor observed during the visit. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 8/28/2023. A fire drill was recorded on 8/31/2023. The most recent lockdown drill for the facility was recorded on 3/08/2023. The most recent fire inspection was completed on 5/09/2023. I observed a sanitation inspection was last conducted on 2/07/2023 earning a Superior classification. Ms. Gorman and Ms. Studevent stated the program does currently provide transportation, but that no children enrolled in the Pre-K classrooms are being transported. The facility does not participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was recorded for one child enrolled. 10A NCAC 09 .0302(d)(4) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was completed on 3/08/2023. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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 today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding the playground for developing rust. • Please ensure tobacco restriction signs are posted at the entrance of the building used by children of preschool age. • If staff records are kept offsite at the County Office, a Public School Off-Site Records Verification Form must be completed and on file with the principal, all Pre-K substitutes, and all Pre-K staff. - Be reminded that lockdown/ shelter-in-place drills must be completed every three months. 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 27 Completed Date: 9/13/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:45 AM Time Out: 01:45 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. You, Alicia Gorman and Zinnia Studevent, assisted me with the visit. Your program currently operates with a 5-Star license effective April 24, 2020. Restrictions include 1st shift care and meets all enhanced standards, plus reduced ratios minus one. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. One child enrolled was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. A record of Staff Orientation was not observed on file for this staff member. The staff member stated this document is kept on file at the County Office; however, a Public School Off-Site Records Verification Form was not on file for review. No medications were reported, nor observed during the visit. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 8/28/2023. A fire drill was recorded on 8/31/2023. The most recent lockdown drill for the facility was recorded on 3/08/2023. The most recent fire inspection was completed on 5/09/2023. I observed a sanitation inspection was last conducted on 2/07/2023 earning a Superior classification. Ms. Gorman and Ms. Studevent stated the program does currently provide transportation, but that no children enrolled in the Pre-K classrooms are being transported. The facility does not participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was recorded for one child enrolled. 10A NCAC 09 .0302(d)(4) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was completed on 3/08/2023. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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 today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding the playground for developing rust. • Please ensure tobacco restriction signs are posted at the entrance of the building used by children of preschool age. • If staff records are kept offsite at the County Office, a Public School Off-Site Records Verification Form must be completed and on file with the principal, all Pre-K substitutes, and all Pre-K staff. - Be reminded that lockdown/ shelter-in-place drills must be completed every three months. 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 27 Completed Date: 9/13/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:45 AM Time Out: 01:45 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. You, Alicia Gorman and Zinnia Studevent, assisted me with the visit. Your program currently operates with a 5-Star license effective April 24, 2020. Restrictions include 1st shift care and meets all enhanced standards, plus reduced ratios minus one. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. One child enrolled was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. A record of Staff Orientation was not observed on file for this staff member. The staff member stated this document is kept on file at the County Office; however, a Public School Off-Site Records Verification Form was not on file for review. No medications were reported, nor observed during the visit. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 8/28/2023. A fire drill was recorded on 8/31/2023. The most recent lockdown drill for the facility was recorded on 3/08/2023. The most recent fire inspection was completed on 5/09/2023. I observed a sanitation inspection was last conducted on 2/07/2023 earning a Superior classification. Ms. Gorman and Ms. Studevent stated the program does currently provide transportation, but that no children enrolled in the Pre-K classrooms are being transported. The facility does not participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was recorded for one child enrolled. 10A NCAC 09 .0302(d)(4) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was completed on 3/08/2023. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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 today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding the playground for developing rust. • Please ensure tobacco restriction signs are posted at the entrance of the building used by children of preschool age. • If staff records are kept offsite at the County Office, a Public School Off-Site Records Verification Form must be completed and on file with the principal, all Pre-K substitutes, and all Pre-K staff. - Be reminded that lockdown/ shelter-in-place drills must be completed every three months. 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IBRAHAM ELEMENTARY PRE-K PROGRAM Facility ID: 34001185 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 27 Completed Date: 9/13/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:45 AM Time Out: 01:45 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. You, Alicia Gorman and Zinnia Studevent, assisted me with the visit. Your program currently operates with a 5-Star license effective April 24, 2020. Restrictions include 1st shift care and meets all enhanced standards, plus reduced ratios minus one. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • S/C Ratios • CPR • First Aid • Special Training • CBC Completed • ITS-SIDS Training • Emergency Medical Care Plan • Administering Medication • Storage of Hazardous Substances • Storage of Medication • General Safety • Discipline • Adequate/Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. One child enrolled was not signed in upon arrival. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing in activity centers, participating in general routines, engaging in conversations and activities with their teachers, and eating lunch during the visit. One new staff member was reported at this program since the last visit. The file for this staff member was monitored. A record of Staff Orientation was not observed on file for this staff member. The staff member stated this document is kept on file at the County Office; however, a Public School Off-Site Records Verification Form was not on file for review. No medications were reported, nor observed during the visit. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded on 8/28/2023. A fire drill was recorded on 8/31/2023. The most recent lockdown drill for the facility was recorded on 3/08/2023. The most recent fire inspection was completed on 5/09/2023. I observed a sanitation inspection was last conducted on 2/07/2023 earning a Superior classification. Ms. Gorman and Ms. Studevent stated the program does currently provide transportation, but that no children enrolled in the Pre-K classrooms are being transported. The facility does not participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. A time of arrival was recorded for one child enrolled. 10A NCAC 09 .0302(d)(4) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A record of Staff Orientation was not observed on file for one new staff member. .1101(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent lockdown drill was completed on 3/08/2023. .0604(u);.0302(d)(8) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 9/27/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to 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 today’s visit: • The following Child Care Rules were thoroughly reviewed and discussed with Ms. Gorman and Ms. Studevent during the visit: 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) Staff medical statements, proof of a tuberculosis test or screening, and completed health questionnaires shall be included in the staff member's medical file, which must be maintained separately from the staff member's individual personnel file in the center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (g) Children's special diets or food allergies shall be posted where they can be seen in the food preparation area and in the child's eating area. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please remember to submit the education for all new staff and all staff who have advanced their education to DCDEE Works. • Please monitor the fencing surrounding the playground for developing rust. • Please ensure tobacco restriction signs are posted at the entrance of the building used by children of preschool age. • If staff records are kept offsite at the County Office, a Public School Off-Site Records Verification Form must be completed and on file with the principal, all Pre-K substitutes, and all Pre-K staff. - Be reminded that lockdown/ shelter-in-place drills must be completed every three months. 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, Child Care Consultant (336) 408-4849 cara.mckeown@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times