Kimberley Park Elementary School Pre-K Program

10A NCAC 09 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. 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 .0901 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. 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 .0302 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. 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 .0901 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. 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: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 39 Completed Date: 2/11/2026 Age: From 4 To 5 Total Minutes: 355 Time In: 08:05 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Ms. Sharon Leach, Lead Teacher. Ms. Laquetta Williams, WSFCS Licensing Specialist, was present during the review of the visit summary. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 90% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. 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 eating breakfast, playing in activity centers, engaging in conversations and activities with their teachers, participating in general routines, 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 2/13/2025. A sanitation inspection was completed 3/07/2025 with a Superior classification. The last fire inspection was conducted on 10/09/2025. Program records and required postings were monitored. A fire drill was conducted on 1/23/26. A lockdown drill was documented on 12/18/25. An outdoor inspection was documented on 1/14/26. 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 file for one short- term substitute was monitored today. The files for five children enrolled were monitored during the visit. Storage of hazardous items was monitored today. No medications were observed, nor reported. Ms. Leach 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, 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. Ms. Cole was not present during today’s visit, and substitute teacher, B. Herndon was observed in Space 11 with Mrs. Leach. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed. 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, January, and April). The first day of school was 8/13/2025. 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 times of arrival for one child enrolled in Room 12 and four children in Room 13 were not recorded. 10A NCAC 09 .0302(d)(4) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk. 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident Reports for five children enrolled were not observed recorded on the Incident Log. .0802(g)(1-6) 1043 All staff records, except financial records, were not made available for review. The staff file for one substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies. G.S. 110-91( 9) 1768 The health assessment did not include a hearing screening. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. .3005 (a)(4) 1769 The health assessment did not include a dental screening. A dental screening was not observed on file for one child enrolled in Space 12. .3005 (a)(5) 1771 A screening assessing development was not conducted within 90 days after the first day of attendance in the program or within six months prior to the first day of attendance and/or the screening was not conducted by a health care, community or school professional trained in administering the screening tool. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). .3006(a) 1828 Jump ropes and rubber bands were accessible to children under five years of age without adult supervision. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age. .0604(q) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. .1102(g) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 2/25/2026. 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: Honey Nut Cheerios were listed on the menu for breakfast today, and Trix cereal was served instead; the substitution was not recorded on the menu prior to breakfast service. The short-term substitute present during the visit in Space 11 was not observed to have a training certificate for Recognizing and Responding to Suspicions of Child Abuse and Maltreatment on file; the substitute’s employment date was 10/01/2025. Additionally, an Offsite Records Verification Form for Staff was not on file for review for the facility, and the staff file for this substitute and one additional existing employee did not contain an Employment Application, TB Screening, medical statement (for the existing employee), documentation of Orientation, Professional Development Plan, Staff Evaluation, or receipt of Operational/ Personnel Policies; an Offsite Records Verification Form for Staff was completed during the visit. A hearing screening was observed on file for one child enrolled in Space 12, but it was recorded the screening was attempted only and could not be completed. A dental screening was not observed on file for one child enrolled in Space 12. A completed developmental screening was not observed on file for review for one child enrolled in Space 12 (9/17/25). Staff stated they did not yet have access to this developmental screening online as of today’s date (the child was not showing up on their role) and that they were unaware the other documents were not on file. You may consider completing a file review for all child, staff, and program files, using Child Care Rule as a reference, to ensure all required forms are not only on file, but complete with accurate information. One outlet in Space 12 was observed without a safety cover in the home living area of the classroom, and four outlets in Space 12 were observed without safety covers on a charging station located on a staff member’s desk; a safety cover was placed in each of these outlets during the visit. A geoboard activity with rubber bands located in the manipulatives area of the classroom was observed to be accessible to children under five years of age; this activity was made inaccessible to children during the visit. It is imperative for the indoor learning environment to be a safe place for children to engage with and explore at all times. Ms. Calaway stated she did not realize children enrolled could not have access to rubber band. I shared with Ms. Calaway children can use this activity for learning purposes with her direct supervision. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Williams during the visit: 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) regarding staff modeling healthy eating habits for children Place a copy of the additional training hours Ms. Bates has received for the 2025 2026 School Year on file for review. Remove all staff from the facility’s ABCMS profile who are not associated with a licensed Pre-K classroom. Monitor the outdoor learning environment daily for signs of rust developing on outdoor décor or equipment, and for broken items; you may consider removing the broken corner of the Feeling Friends sign on the upper portion of the wall of the building to ensure it does not detach and fall. 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 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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 .0302 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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 .0508 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. At the completion of the visit, this visit was reviewed with and provided to you, and you were given the opportunity to ask questions. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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 .2508 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 8/22/2025 Number Present: 29 Completed Date: 8/22/2025 Age: From 4 To 4 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 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 Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 4/15/2025. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age Equipment may not be used by children of preschool age. 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 participating in music and movement and gross motor activities. No new staff members were reported at this program. No medications were observed, nor reported. Storage of hazardous items was monitored today and found to be in compliance. The most recent playground inspection was recorded 8/21/2025. A fire drill was recorded 8/15/2025. 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. Leach stated a lockdown/ shelter-in-place drill would be conducted before August ends. The most recent fire inspection was on 3/07/2025. I observed a sanitation inspection was last conducted on 4/03/2025 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Two children enrolled were not observed to be signed in with a time of arrival in Space 11. 10A NCAC 09 .0302(d)(4) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets, located at the children's level, were observed without safety covers in Space 13. 10A NCAC 09 .0604(c) 823 Toxic plants were accessible to children. On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. .0604(l) 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, the principal and staff CBCs were 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 9/05/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During the Visit: On the playground used by children enrolled, poison ivy was observed growing inside the fence along back right and back side of the playground. It is imperative the outdoor learning environment be a safe place for children to engage with an explore at all times. You may consider adding this to a routine outdoor inspection for the school to ensure that once all toxic plants are cleared, their regrowth is monitored closely to prevent their return. A facility profile for Criminal Background Checks had not been created; hence, the principal and staff CBCs were 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. Gwyn stated she has the instructions I sent via email to complete this process, and I forwarded each of these emails to Ms. Gwyn again following the visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES regarding screen time requirements for music & movement activities 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) regarding jump ropes 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) regarding current menus required to be posted 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) regarding posting current lesson plans and daily schedules Please monitor outdoor fencing for developing rust. A copy of the NC FELD manual was provided to Ms. Leach during the visit. 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 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 30 Completed Date: 2/13/2025 Age: From 4 To 5 Total Minutes: 380 Time In: 08:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Lead Teachers Tracy Phillips and Caprina Calaway were also present during the visit. The purpose of today’s visit was to additionally review the results of your Environment Rating Scale (ERS) conducted on 1/21/2025 and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted in the visit summary. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by preschool children. 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. 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 games, activities, and conversations with their teachers, participating in general routines, playing in the gym due to active precipitation, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 3/27/2024. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter in place and lockdown drill were documented on 12/19/2024. An outdoor inspection was documented on 2/07/2025. Staff files and children’s records were monitored per DCDEE procedures. The file for one new staff member and one existing staff member were monitored during the visit. The files for four children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. All documentation was found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. 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, January, and April). The first day of school was 8/12/2024. The following items scoring less than a three on the ERS could constitute a violation of child care requirements and therefore, were monitored: ECERS-R assessment – January 21, 2025 – (S. Leach; T. Cole) Total score – 5.59 Item 10 Indicator: 3.2 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: For lunch most of the children were served, chicken nuggets, greens, pears, a roll, and milk. Two children who did not have a reported allergy to milk were served water instead of milk with their meal. Since each child did not have all the required meal components, credit was not earned. Please see the USDA Meal Guidelines for more information. Observations Today: All children were served milk or approved milk substitutions during lunch today. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Indoors, there were uncovered electrical outlets in the gym where children had gross motor play. Observations Today: Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. Additionally, three hand sanitizers were observed to be stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed in unlocked storage. All hand sanitizers were placed at least five feet from the ground during the visit, and the aerosol canister was placed into locked storage during the visit. Item 27 Indicator: 3.1 (se pages: 54-55 in the ECERS-R) Score: 2 pts Assessor Comments: The teacher reported that the videos used with the children include "The Lion King." This video does not meet the requirements of this indicator because it shows violent content. Observations Today: No screen time was observed occurring in classrooms monitored today. Item 34 Indicator: 3.3 (see page: 63 in the ECERS-R) Score: 2 pts Assessor Comments: The children have indoor play each day, meeting a part of the indicator's requirement. When describing policies for outdoor play, a positive weather permitting practice was reported and this included staying inside when it is snowing. However, the teacher also reported that children do not go outdoors when the temperature falls below 32 degrees, and this situation alone does not pose a health or safety concern for children who are dressed for the condition. Therefore, there are times when children do not play outdoors when the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. Item 35 Indicator: 3.1 (see page: 64 in the ECERS-R) Score: 2 pts Assessor Comments: Children play indoors to meet a part of the indicator's requirements. However, as stated in item 34, outdoor play does not occur each day that the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. I discussed with Ms. Leach and Ms. Cole strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-3 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. All Lead Teachers meet 7 points in education. 50% of 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 1/21/2025. The assessment report was reviewed during today’s visit. The scores are as follows: ECERS – 5.59. 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 violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 3 (Room 13), an allergy list was not observed posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. 10A NCAC 09 .0604(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. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for one existing staff member had not been updated since September, 2023. .0701(a) 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. • The Emergency Information form for one existing staff member had not been updated since September, 2023. .0701(a) 1303 Application was not signed by the parent. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. 10A NCAC 09 .0801(a) 1769 The health assessment did not include a dental screening. The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 2/26/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 documented during today’s visit: • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted; a current snack menu was posted during the visit. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. The bottles of hand sanitizer were placed greater than five feet from the ground, and the aerosol canister was placed into locked storage during the visit. • Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. • In Space 3 (Room 13), an allergy list was not observed posted; an allergy list was posted during the visit. • The Health Questionnaire and Emergency Information form for one existing staff member had not been updated since September, 2023. Each of these forms was updated by the staff member during the visit. • The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. It is imperative all required documentation is current, complete, and on file for the health, safety, and quality of care of children enrolled. You may consider reviewing all files of newly enrolled children to ensure all required documentation has been submitted and is complete. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were provided for reference regarding health questionnaires, staff: child ratios, nutrition modeling, and brush/vegetation: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) • 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The education for Ms. Nicole Paul, current Teacher’s Assistant in Space 3 (Room 13), is not currently entered into DCDEE Works. Ms. Paul will need to create a WORKS account and submit her education for evaluation. Ms. Paul's information and her qualifications will also need to be added to the NC Pre-K Plan. Please ensure parents use their signature to acknowledge receipt of documents, instead of writing “all” and the date they received these. 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, 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 .0701 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 30 Completed Date: 2/13/2025 Age: From 4 To 5 Total Minutes: 380 Time In: 08:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Lead Teachers Tracy Phillips and Caprina Calaway were also present during the visit. The purpose of today’s visit was to additionally review the results of your Environment Rating Scale (ERS) conducted on 1/21/2025 and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted in the visit summary. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by preschool children. 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. 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 games, activities, and conversations with their teachers, participating in general routines, playing in the gym due to active precipitation, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 3/27/2024. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter in place and lockdown drill were documented on 12/19/2024. An outdoor inspection was documented on 2/07/2025. Staff files and children’s records were monitored per DCDEE procedures. The file for one new staff member and one existing staff member were monitored during the visit. The files for four children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. All documentation was found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. 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, January, and April). The first day of school was 8/12/2024. The following items scoring less than a three on the ERS could constitute a violation of child care requirements and therefore, were monitored: ECERS-R assessment – January 21, 2025 – (S. Leach; T. Cole) Total score – 5.59 Item 10 Indicator: 3.2 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: For lunch most of the children were served, chicken nuggets, greens, pears, a roll, and milk. Two children who did not have a reported allergy to milk were served water instead of milk with their meal. Since each child did not have all the required meal components, credit was not earned. Please see the USDA Meal Guidelines for more information. Observations Today: All children were served milk or approved milk substitutions during lunch today. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Indoors, there were uncovered electrical outlets in the gym where children had gross motor play. Observations Today: Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. Additionally, three hand sanitizers were observed to be stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed in unlocked storage. All hand sanitizers were placed at least five feet from the ground during the visit, and the aerosol canister was placed into locked storage during the visit. Item 27 Indicator: 3.1 (se pages: 54-55 in the ECERS-R) Score: 2 pts Assessor Comments: The teacher reported that the videos used with the children include "The Lion King." This video does not meet the requirements of this indicator because it shows violent content. Observations Today: No screen time was observed occurring in classrooms monitored today. Item 34 Indicator: 3.3 (see page: 63 in the ECERS-R) Score: 2 pts Assessor Comments: The children have indoor play each day, meeting a part of the indicator's requirement. When describing policies for outdoor play, a positive weather permitting practice was reported and this included staying inside when it is snowing. However, the teacher also reported that children do not go outdoors when the temperature falls below 32 degrees, and this situation alone does not pose a health or safety concern for children who are dressed for the condition. Therefore, there are times when children do not play outdoors when the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. Item 35 Indicator: 3.1 (see page: 64 in the ECERS-R) Score: 2 pts Assessor Comments: Children play indoors to meet a part of the indicator's requirements. However, as stated in item 34, outdoor play does not occur each day that the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. I discussed with Ms. Leach and Ms. Cole strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-3 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. All Lead Teachers meet 7 points in education. 50% of 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 1/21/2025. The assessment report was reviewed during today’s visit. The scores are as follows: ECERS – 5.59. 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 violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 3 (Room 13), an allergy list was not observed posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. 10A NCAC 09 .0604(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. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for one existing staff member had not been updated since September, 2023. .0701(a) 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. • The Emergency Information form for one existing staff member had not been updated since September, 2023. .0701(a) 1303 Application was not signed by the parent. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. 10A NCAC 09 .0801(a) 1769 The health assessment did not include a dental screening. The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 2/26/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 documented during today’s visit: • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted; a current snack menu was posted during the visit. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. The bottles of hand sanitizer were placed greater than five feet from the ground, and the aerosol canister was placed into locked storage during the visit. • Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. • In Space 3 (Room 13), an allergy list was not observed posted; an allergy list was posted during the visit. • The Health Questionnaire and Emergency Information form for one existing staff member had not been updated since September, 2023. Each of these forms was updated by the staff member during the visit. • The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. It is imperative all required documentation is current, complete, and on file for the health, safety, and quality of care of children enrolled. You may consider reviewing all files of newly enrolled children to ensure all required documentation has been submitted and is complete. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were provided for reference regarding health questionnaires, staff: child ratios, nutrition modeling, and brush/vegetation: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) • 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The education for Ms. Nicole Paul, current Teacher’s Assistant in Space 3 (Room 13), is not currently entered into DCDEE Works. Ms. Paul will need to create a WORKS account and submit her education for evaluation. Ms. Paul's information and her qualifications will also need to be added to the NC Pre-K Plan. Please ensure parents use their signature to acknowledge receipt of documents, instead of writing “all” and the date they received these. 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, 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 .0801 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 30 Completed Date: 2/13/2025 Age: From 4 To 5 Total Minutes: 380 Time In: 08:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Lead Teachers Tracy Phillips and Caprina Calaway were also present during the visit. The purpose of today’s visit was to additionally review the results of your Environment Rating Scale (ERS) conducted on 1/21/2025 and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted in the visit summary. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by preschool children. 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. 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 games, activities, and conversations with their teachers, participating in general routines, playing in the gym due to active precipitation, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 3/27/2024. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter in place and lockdown drill were documented on 12/19/2024. An outdoor inspection was documented on 2/07/2025. Staff files and children’s records were monitored per DCDEE procedures. The file for one new staff member and one existing staff member were monitored during the visit. The files for four children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. All documentation was found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. 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, January, and April). The first day of school was 8/12/2024. The following items scoring less than a three on the ERS could constitute a violation of child care requirements and therefore, were monitored: ECERS-R assessment – January 21, 2025 – (S. Leach; T. Cole) Total score – 5.59 Item 10 Indicator: 3.2 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: For lunch most of the children were served, chicken nuggets, greens, pears, a roll, and milk. Two children who did not have a reported allergy to milk were served water instead of milk with their meal. Since each child did not have all the required meal components, credit was not earned. Please see the USDA Meal Guidelines for more information. Observations Today: All children were served milk or approved milk substitutions during lunch today. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Indoors, there were uncovered electrical outlets in the gym where children had gross motor play. Observations Today: Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. Additionally, three hand sanitizers were observed to be stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed in unlocked storage. All hand sanitizers were placed at least five feet from the ground during the visit, and the aerosol canister was placed into locked storage during the visit. Item 27 Indicator: 3.1 (se pages: 54-55 in the ECERS-R) Score: 2 pts Assessor Comments: The teacher reported that the videos used with the children include "The Lion King." This video does not meet the requirements of this indicator because it shows violent content. Observations Today: No screen time was observed occurring in classrooms monitored today. Item 34 Indicator: 3.3 (see page: 63 in the ECERS-R) Score: 2 pts Assessor Comments: The children have indoor play each day, meeting a part of the indicator's requirement. When describing policies for outdoor play, a positive weather permitting practice was reported and this included staying inside when it is snowing. However, the teacher also reported that children do not go outdoors when the temperature falls below 32 degrees, and this situation alone does not pose a health or safety concern for children who are dressed for the condition. Therefore, there are times when children do not play outdoors when the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. Item 35 Indicator: 3.1 (see page: 64 in the ECERS-R) Score: 2 pts Assessor Comments: Children play indoors to meet a part of the indicator's requirements. However, as stated in item 34, outdoor play does not occur each day that the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. I discussed with Ms. Leach and Ms. Cole strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-3 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. All Lead Teachers meet 7 points in education. 50% of 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 1/21/2025. The assessment report was reviewed during today’s visit. The scores are as follows: ECERS – 5.59. 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 violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 3 (Room 13), an allergy list was not observed posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. 10A NCAC 09 .0604(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. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for one existing staff member had not been updated since September, 2023. .0701(a) 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. • The Emergency Information form for one existing staff member had not been updated since September, 2023. .0701(a) 1303 Application was not signed by the parent. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. 10A NCAC 09 .0801(a) 1769 The health assessment did not include a dental screening. The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 2/26/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 documented during today’s visit: • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted; a current snack menu was posted during the visit. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. The bottles of hand sanitizer were placed greater than five feet from the ground, and the aerosol canister was placed into locked storage during the visit. • Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. • In Space 3 (Room 13), an allergy list was not observed posted; an allergy list was posted during the visit. • The Health Questionnaire and Emergency Information form for one existing staff member had not been updated since September, 2023. Each of these forms was updated by the staff member during the visit. • The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. It is imperative all required documentation is current, complete, and on file for the health, safety, and quality of care of children enrolled. You may consider reviewing all files of newly enrolled children to ensure all required documentation has been submitted and is complete. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were provided for reference regarding health questionnaires, staff: child ratios, nutrition modeling, and brush/vegetation: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) • 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The education for Ms. Nicole Paul, current Teacher’s Assistant in Space 3 (Room 13), is not currently entered into DCDEE Works. Ms. Paul will need to create a WORKS account and submit her education for evaluation. Ms. Paul's information and her qualifications will also need to be added to the NC Pre-K Plan. Please ensure parents use their signature to acknowledge receipt of documents, instead of writing “all” and the date they received these. 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, 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 .0901 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 30 Completed Date: 2/13/2025 Age: From 4 To 5 Total Minutes: 380 Time In: 08:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Lead Teachers Tracy Phillips and Caprina Calaway were also present during the visit. The purpose of today’s visit was to additionally review the results of your Environment Rating Scale (ERS) conducted on 1/21/2025 and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted in the visit summary. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by preschool children. 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. 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 games, activities, and conversations with their teachers, participating in general routines, playing in the gym due to active precipitation, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 3/27/2024. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter in place and lockdown drill were documented on 12/19/2024. An outdoor inspection was documented on 2/07/2025. Staff files and children’s records were monitored per DCDEE procedures. The file for one new staff member and one existing staff member were monitored during the visit. The files for four children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. All documentation was found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. 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, January, and April). The first day of school was 8/12/2024. The following items scoring less than a three on the ERS could constitute a violation of child care requirements and therefore, were monitored: ECERS-R assessment – January 21, 2025 – (S. Leach; T. Cole) Total score – 5.59 Item 10 Indicator: 3.2 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: For lunch most of the children were served, chicken nuggets, greens, pears, a roll, and milk. Two children who did not have a reported allergy to milk were served water instead of milk with their meal. Since each child did not have all the required meal components, credit was not earned. Please see the USDA Meal Guidelines for more information. Observations Today: All children were served milk or approved milk substitutions during lunch today. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Indoors, there were uncovered electrical outlets in the gym where children had gross motor play. Observations Today: Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. Additionally, three hand sanitizers were observed to be stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed in unlocked storage. All hand sanitizers were placed at least five feet from the ground during the visit, and the aerosol canister was placed into locked storage during the visit. Item 27 Indicator: 3.1 (se pages: 54-55 in the ECERS-R) Score: 2 pts Assessor Comments: The teacher reported that the videos used with the children include "The Lion King." This video does not meet the requirements of this indicator because it shows violent content. Observations Today: No screen time was observed occurring in classrooms monitored today. Item 34 Indicator: 3.3 (see page: 63 in the ECERS-R) Score: 2 pts Assessor Comments: The children have indoor play each day, meeting a part of the indicator's requirement. When describing policies for outdoor play, a positive weather permitting practice was reported and this included staying inside when it is snowing. However, the teacher also reported that children do not go outdoors when the temperature falls below 32 degrees, and this situation alone does not pose a health or safety concern for children who are dressed for the condition. Therefore, there are times when children do not play outdoors when the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. Item 35 Indicator: 3.1 (see page: 64 in the ECERS-R) Score: 2 pts Assessor Comments: Children play indoors to meet a part of the indicator's requirements. However, as stated in item 34, outdoor play does not occur each day that the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. I discussed with Ms. Leach and Ms. Cole strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-3 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. All Lead Teachers meet 7 points in education. 50% of 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 1/21/2025. The assessment report was reviewed during today’s visit. The scores are as follows: ECERS – 5.59. 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 violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 3 (Room 13), an allergy list was not observed posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. 10A NCAC 09 .0604(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. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for one existing staff member had not been updated since September, 2023. .0701(a) 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. • The Emergency Information form for one existing staff member had not been updated since September, 2023. .0701(a) 1303 Application was not signed by the parent. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. 10A NCAC 09 .0801(a) 1769 The health assessment did not include a dental screening. The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 2/26/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 documented during today’s visit: • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted; a current snack menu was posted during the visit. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. The bottles of hand sanitizer were placed greater than five feet from the ground, and the aerosol canister was placed into locked storage during the visit. • Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. • In Space 3 (Room 13), an allergy list was not observed posted; an allergy list was posted during the visit. • The Health Questionnaire and Emergency Information form for one existing staff member had not been updated since September, 2023. Each of these forms was updated by the staff member during the visit. • The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. It is imperative all required documentation is current, complete, and on file for the health, safety, and quality of care of children enrolled. You may consider reviewing all files of newly enrolled children to ensure all required documentation has been submitted and is complete. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were provided for reference regarding health questionnaires, staff: child ratios, nutrition modeling, and brush/vegetation: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) • 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The education for Ms. Nicole Paul, current Teacher’s Assistant in Space 3 (Room 13), is not currently entered into DCDEE Works. Ms. Paul will need to create a WORKS account and submit her education for evaluation. Ms. Paul's information and her qualifications will also need to be added to the NC Pre-K Plan. Please ensure parents use their signature to acknowledge receipt of documents, instead of writing “all” and the date they received these. 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, 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 .3009 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 30 Completed Date: 2/13/2025 Age: From 4 To 5 Total Minutes: 380 Time In: 08:40 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Lead Teachers Tracy Phillips and Caprina Calaway were also present during the visit. The purpose of today’s visit was to additionally review the results of your Environment Rating Scale (ERS) conducted on 1/21/2025 and to finalize your rated license assessment. ERS summaries were reviewed today and items scoring less than a three could constitute a violation of child care requirements and therefore were monitored. These items are noted in the visit summary. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment may not be used by preschool children. 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. 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 games, activities, and conversations with their teachers, participating in general routines, playing in the gym due to active precipitation, and eating lunch during the visit. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 3/27/2024. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 1/27/2025. A shelter in place and lockdown drill were documented on 12/19/2024. An outdoor inspection was documented on 2/07/2025. Staff files and children’s records were monitored per DCDEE procedures. The file for one new staff member and one existing staff member were monitored during the visit. The files for four children enrolled were monitored during the visit as well. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. All documentation was found to be in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. 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 at least 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. Teachers reach out to parents on the third day a child is absent to find out the reason for the absence. Teachers also 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 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, Sharon Leach, Caprina Calaway, and Tracy Phillips and teachers, Teresa Cole, Archie Bates, and Nicole Paul. 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, January, and April). The first day of school was 8/12/2024. The following items scoring less than a three on the ERS could constitute a violation of child care requirements and therefore, were monitored: ECERS-R assessment – January 21, 2025 – (S. Leach; T. Cole) Total score – 5.59 Item 10 Indicator: 3.2 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: For lunch most of the children were served, chicken nuggets, greens, pears, a roll, and milk. Two children who did not have a reported allergy to milk were served water instead of milk with their meal. Since each child did not have all the required meal components, credit was not earned. Please see the USDA Meal Guidelines for more information. Observations Today: All children were served milk or approved milk substitutions during lunch today. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Indoors, there were uncovered electrical outlets in the gym where children had gross motor play. Observations Today: Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. Additionally, three hand sanitizers were observed to be stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed in unlocked storage. All hand sanitizers were placed at least five feet from the ground during the visit, and the aerosol canister was placed into locked storage during the visit. Item 27 Indicator: 3.1 (se pages: 54-55 in the ECERS-R) Score: 2 pts Assessor Comments: The teacher reported that the videos used with the children include "The Lion King." This video does not meet the requirements of this indicator because it shows violent content. Observations Today: No screen time was observed occurring in classrooms monitored today. Item 34 Indicator: 3.3 (see page: 63 in the ECERS-R) Score: 2 pts Assessor Comments: The children have indoor play each day, meeting a part of the indicator's requirement. When describing policies for outdoor play, a positive weather permitting practice was reported and this included staying inside when it is snowing. However, the teacher also reported that children do not go outdoors when the temperature falls below 32 degrees, and this situation alone does not pose a health or safety concern for children who are dressed for the condition. Therefore, there are times when children do not play outdoors when the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. Item 35 Indicator: 3.1 (see page: 64 in the ECERS-R) Score: 2 pts Assessor Comments: Children play indoors to meet a part of the indicator's requirements. However, as stated in item 34, outdoor play does not occur each day that the weather allows. Observations Today: Children were observed playing indoors today, due to active precipitation; however, Ms. Leach stated children will dress appropriately to go outside to play, unless wind chill factors restrict outdoor play, due to safety concerns for children. I discussed with Ms. Leach and Ms. Cole strategies for increasing the scores of all items scoring less than a seven (7) and referenced the resource book All About the ECERS-3 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. All Lead Teachers meet 7 points in education. 50% of 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 1/21/2025. The assessment report was reviewed during today’s visit. The scores are as follows: ECERS – 5.59. 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 violations were cited during today’s visit: Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 3 (Room 13), an allergy list was not observed posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted. 10A NCAC 09 .0901(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. 10A NCAC 09 .0604(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. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for one existing staff member had not been updated since September, 2023. .0701(a) 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. • The Emergency Information form for one existing staff member had not been updated since September, 2023. .0701(a) 1303 Application was not signed by the parent. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. 10A NCAC 09 .0801(a) 1769 The health assessment did not include a dental screening. The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. .3005 (a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 2/26/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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 documented during today’s visit: • Current snack menus for Spaces 2 and 3 (Rooms 12 and 13) were not posted; a current snack menu was posted during the visit. • In Space 2 (Room 12), one canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed stored greater than five feet from the ground, but in unlocked storage. This canister was placed into locked storage during the visit. In Space 3 (Room 13), a teacher’s closet containing items labeled Keep Out of Reach of Children with additional warnings was observed to be unlocked; this closet was locked during the visit. In the gym (an auxiliary space), three individual sized bottles of hand sanitizer were observed stored less than five feet from the ground, and one aerosol canister of disinfectant spray was observed less than five feet from the ground and in unlocked storage while children enrolled were using the space for gross motor play due to active precipitation. The bottles of hand sanitizer were placed greater than five feet from the ground, and the aerosol canister was placed into locked storage during the visit. • Four electrical outlets in the gym (auxiliary space) were observed without safety covers while the children had gross motor play, due to active precipitation outdoors. All four outlets were covered with safety covers during the visit. • In Space 3 (Room 13), an allergy list was not observed posted; an allergy list was posted during the visit. • The Health Questionnaire and Emergency Information form for one existing staff member had not been updated since September, 2023. Each of these forms was updated by the staff member during the visit. • The dental screening for one child enrolled in Space 3 (Room 13) was not observed on file for review. The child application for one child enrolled in both Spaces 2 and 3 (Rooms 12 and 13) did not include a parent signature. It is imperative all required documentation is current, complete, and on file for the health, safety, and quality of care of children enrolled. You may consider reviewing all files of newly enrolled children to ensure all required documentation has been submitted and is complete. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were provided for reference regarding health questionnaires, staff: child ratios, nutrition modeling, and brush/vegetation: • 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) • 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (d) • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) • 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The education for Ms. Nicole Paul, current Teacher’s Assistant in Space 3 (Room 13), is not currently entered into DCDEE Works. Ms. Paul will need to create a WORKS account and submit her education for evaluation. Ms. Paul's information and her qualifications will also need to be added to the NC Pre-K Plan. Please ensure parents use their signature to acknowledge receipt of documents, instead of writing “all” and the date they received these. 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, 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 .0601 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0608 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 4 To 5 Total Minutes: 210 Time In: 09:40 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Sharon Leach, Lead Teacher and Diamond Gwyn, Principal. Your program currently operates with a 5-Star license effective 11/27/2019. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one, and School Age equipment on playground cannot be used by children of preschool age. The program’s compliance history was 81% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children playing with toys, engaging in conversations and activities with their teachers, participating in general routines, and playing outdoors during the visit. No new staff members were reported at this program; one substitute staff member was present in Space 3/ Room 13 during the visit. 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, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, Special Trainings, and Criminal Background Checks. Storage and administration of medication and medication authorization were monitored and found to be in compliance. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 10/09/2024. A fire drill was recorded 10/31/2024. A lockdown drill for the facility was recorded 9/30/2024. The most recent fire inspection was on 9/16/2024. I observed a sanitation inspection was last conducted on 3/06/2024 earning a Superior classification. The program does not participate in transportation, off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. 10A NCAC 09 .0604(c) 1757 A valid qualification letter was not on file and available to review at the facility. A Criminal Background Check qualifying letter was not observed on file for one substitute staff member. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. .0604(u);.0302(d)(8) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: In Spaces 2/Room 12, two outlets were observed to be missing safety covers; in Space 3/Room 13, one outlet was observed to be missing a safety cover. Each of these outlets was covered with a safety cover during the visit. On the playground used by children enrolled of preschool and school age, one plastic yellow bin was observed to be cracked and sharp to the touch. This yellow bin was removed from the playground and discarded during the visit. A lockdown drill was completed on 5/22/24; the next lockdown/shelter-in-place drill was completed on 9/30/24. Ms. Leach stated moving forward she would make sure a lockdown/shelter-in-place drill was completed every three months. A record of orientation and a Criminal Background Check qualifying letter was not observed on file for one substitute staff member. A Criminal Background Check qualifying letter for this substitute was printed and placed on file during the visit. It is important that all required documentation be on file for substitute staff to ensure the health, safety, and quality of care of children enrolled. I provided Ms. Calaway a copy of the Substitute File Checklist to review all items required to be on file for substitute staff members. Consultation Provided During Visit: The following Child Care Rules were discussed with Ms. Gwyn during the visit: • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) (screen time) • 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (g) • 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) - 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS • 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown-stewart@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 39 Completed Date: 3/27/2024 Age: From 4 To 5 Total Minutes: 365 Time In: 08:30 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Pam Hauser, Licensing Supervisor, was also present for the visit. The initial purpose of today’s visit was to conduct a Routine Unannounced visit. However, upon arrival, Ms. Leach stated the program wanted to request the ERS be completed during their preparation year. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, and School Age equipment may not be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A 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 songs, games, activities, and conversations with their teachers. I observed materials and activities that were available to the children in the classrooms. 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 the Creative Curriculum. The last annual compliance visit was conducted on 9/05/2023. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/26/2023. 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 3/25/2024. A shelter in place and lockdown drill were documented on 3/25/2024. An outdoor inspection was documented on 3/05/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. This was corrected during the visit. Storage of hazardous items was monitored today. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. This item was placed into locked storage during the visit. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. This cupboard was locked during the visit. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. This item was made inaccessible to children during the visit. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. The disinfectant wipes were disposed of, and the hand sanitizer was placed into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. 10A NCAC 09 .0302(d)(4) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. .2820(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. .0803(13)(a-e); .2318(3) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground in Space 1. .0604(e) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for one child enrolled was not on file within 30 days after admission. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. .0901(i) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the EPR plan was not on file for two existing staff members. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan observed on file for one child enrolled with an emergency inhaler 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) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One existing staff member did not have a record of Health and Safety training on file for review. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 4/10/2024. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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. An additional unannounced follow-up visit will also be made to monitor staff: child ratios. Technical assistance documented during today’s visit: • In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. A signed annual review of the EPR plan was not on file for two existing staff members. The medical action plan observed on file for one child enrolled with an emergency inhaler 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 medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not have a record of Health and Safety training on file 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 of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. • A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. Ms. Hauser asked the staff member during the visit if someone else was in the room with the other teacher. The staff member did not verbally respond, but she turned around and returned to her classroom. Two staff are required to maintain staff/child ratios in the classroom she was assigned. You may consider staff members to either request someone to temporarily step into the room for another staff member to leave, or use a classroom telephone, walkie-talkie, or intercom system to communicate needs to other staff members or office staff during classroom operating hours. • Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground and cord was partially over the side of the counter where childen wash their hands in Space 1. It is important for all safety hazards to be eliminated from the classroom environment so children enrolled can explore the indoor and outdoor learning environments safely. These coffee machines will need to be removed from the classroom. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • All staff education must be up to date in DCDEE Works. • Consultation was given to teachers regarding the NCRLAP; a follow-up email with additional resources will also be sent following the visit. • The following Child Care Rules were provided for reference regarding recording incident reports on incident log and screen time : • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e )(2)(4) Please schedule your lead water testing, due every three years. At the completion of the visit, this visit summary was reviewed with you. The visit summary and all documents will be emailed to Ms. Gwyn for final review and signature. 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@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 .0302 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 39 Completed Date: 3/27/2024 Age: From 4 To 5 Total Minutes: 365 Time In: 08:30 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Pam Hauser, Licensing Supervisor, was also present for the visit. The initial purpose of today’s visit was to conduct a Routine Unannounced visit. However, upon arrival, Ms. Leach stated the program wanted to request the ERS be completed during their preparation year. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, and School Age equipment may not be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A 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 songs, games, activities, and conversations with their teachers. I observed materials and activities that were available to the children in the classrooms. 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 the Creative Curriculum. The last annual compliance visit was conducted on 9/05/2023. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/26/2023. 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 3/25/2024. A shelter in place and lockdown drill were documented on 3/25/2024. An outdoor inspection was documented on 3/05/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. This was corrected during the visit. Storage of hazardous items was monitored today. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. This item was placed into locked storage during the visit. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. This cupboard was locked during the visit. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. This item was made inaccessible to children during the visit. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. The disinfectant wipes were disposed of, and the hand sanitizer was placed into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. 10A NCAC 09 .0302(d)(4) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. .2820(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. .0803(13)(a-e); .2318(3) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground in Space 1. .0604(e) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for one child enrolled was not on file within 30 days after admission. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. .0901(i) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the EPR plan was not on file for two existing staff members. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan observed on file for one child enrolled with an emergency inhaler 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) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One existing staff member did not have a record of Health and Safety training on file for review. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 4/10/2024. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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. An additional unannounced follow-up visit will also be made to monitor staff: child ratios. Technical assistance documented during today’s visit: • In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. A signed annual review of the EPR plan was not on file for two existing staff members. The medical action plan observed on file for one child enrolled with an emergency inhaler 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 medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not have a record of Health and Safety training on file 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 of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. • A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. Ms. Hauser asked the staff member during the visit if someone else was in the room with the other teacher. The staff member did not verbally respond, but she turned around and returned to her classroom. Two staff are required to maintain staff/child ratios in the classroom she was assigned. You may consider staff members to either request someone to temporarily step into the room for another staff member to leave, or use a classroom telephone, walkie-talkie, or intercom system to communicate needs to other staff members or office staff during classroom operating hours. • Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground and cord was partially over the side of the counter where childen wash their hands in Space 1. It is important for all safety hazards to be eliminated from the classroom environment so children enrolled can explore the indoor and outdoor learning environments safely. These coffee machines will need to be removed from the classroom. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • All staff education must be up to date in DCDEE Works. • Consultation was given to teachers regarding the NCRLAP; a follow-up email with additional resources will also be sent following the visit. • The following Child Care Rules were provided for reference regarding recording incident reports on incident log and screen time : • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e )(2)(4) Please schedule your lead water testing, due every three years. At the completion of the visit, this visit summary was reviewed with you. The visit summary and all documents will be emailed to Ms. Gwyn for final review and signature. 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@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: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 39 Completed Date: 3/27/2024 Age: From 4 To 5 Total Minutes: 365 Time In: 08:30 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Pam Hauser, Licensing Supervisor, was also present for the visit. The initial purpose of today’s visit was to conduct a Routine Unannounced visit. However, upon arrival, Ms. Leach stated the program wanted to request the ERS be completed during their preparation year. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, and School Age equipment may not be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A 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 songs, games, activities, and conversations with their teachers. I observed materials and activities that were available to the children in the classrooms. 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 the Creative Curriculum. The last annual compliance visit was conducted on 9/05/2023. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/26/2023. 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 3/25/2024. A shelter in place and lockdown drill were documented on 3/25/2024. An outdoor inspection was documented on 3/05/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. This was corrected during the visit. Storage of hazardous items was monitored today. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. This item was placed into locked storage during the visit. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. This cupboard was locked during the visit. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. This item was made inaccessible to children during the visit. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. The disinfectant wipes were disposed of, and the hand sanitizer was placed into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. 10A NCAC 09 .0302(d)(4) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. .2820(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. .0803(13)(a-e); .2318(3) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground in Space 1. .0604(e) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for one child enrolled was not on file within 30 days after admission. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. .0901(i) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the EPR plan was not on file for two existing staff members. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan observed on file for one child enrolled with an emergency inhaler 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) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One existing staff member did not have a record of Health and Safety training on file for review. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 4/10/2024. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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. An additional unannounced follow-up visit will also be made to monitor staff: child ratios. Technical assistance documented during today’s visit: • In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. A signed annual review of the EPR plan was not on file for two existing staff members. The medical action plan observed on file for one child enrolled with an emergency inhaler 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 medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not have a record of Health and Safety training on file 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 of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. • A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. Ms. Hauser asked the staff member during the visit if someone else was in the room with the other teacher. The staff member did not verbally respond, but she turned around and returned to her classroom. Two staff are required to maintain staff/child ratios in the classroom she was assigned. You may consider staff members to either request someone to temporarily step into the room for another staff member to leave, or use a classroom telephone, walkie-talkie, or intercom system to communicate needs to other staff members or office staff during classroom operating hours. • Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground and cord was partially over the side of the counter where childen wash their hands in Space 1. It is important for all safety hazards to be eliminated from the classroom environment so children enrolled can explore the indoor and outdoor learning environments safely. These coffee machines will need to be removed from the classroom. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • All staff education must be up to date in DCDEE Works. • Consultation was given to teachers regarding the NCRLAP; a follow-up email with additional resources will also be sent following the visit. • The following Child Care Rules were provided for reference regarding recording incident reports on incident log and screen time : • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e )(2)(4) Please schedule your lead water testing, due every three years. At the completion of the visit, this visit summary was reviewed with you. The visit summary and all documents will be emailed to Ms. Gwyn for final review and signature. 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@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 .2508 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 39 Completed Date: 3/27/2024 Age: From 4 To 5 Total Minutes: 365 Time In: 08:30 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Pam Hauser, Licensing Supervisor, was also present for the visit. The initial purpose of today’s visit was to conduct a Routine Unannounced visit. However, upon arrival, Ms. Leach stated the program wanted to request the ERS be completed during their preparation year. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, and School Age equipment may not be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A 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 songs, games, activities, and conversations with their teachers. I observed materials and activities that were available to the children in the classrooms. 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 the Creative Curriculum. The last annual compliance visit was conducted on 9/05/2023. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/26/2023. 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 3/25/2024. A shelter in place and lockdown drill were documented on 3/25/2024. An outdoor inspection was documented on 3/05/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. This was corrected during the visit. Storage of hazardous items was monitored today. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. This item was placed into locked storage during the visit. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. This cupboard was locked during the visit. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. This item was made inaccessible to children during the visit. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. The disinfectant wipes were disposed of, and the hand sanitizer was placed into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. 10A NCAC 09 .0302(d)(4) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. .2820(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. .0803(13)(a-e); .2318(3) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground in Space 1. .0604(e) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for one child enrolled was not on file within 30 days after admission. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. .0901(i) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the EPR plan was not on file for two existing staff members. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan observed on file for one child enrolled with an emergency inhaler 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) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One existing staff member did not have a record of Health and Safety training on file for review. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 4/10/2024. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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. An additional unannounced follow-up visit will also be made to monitor staff: child ratios. Technical assistance documented during today’s visit: • In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. A signed annual review of the EPR plan was not on file for two existing staff members. The medical action plan observed on file for one child enrolled with an emergency inhaler 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 medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not have a record of Health and Safety training on file 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 of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. • A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. Ms. Hauser asked the staff member during the visit if someone else was in the room with the other teacher. The staff member did not verbally respond, but she turned around and returned to her classroom. Two staff are required to maintain staff/child ratios in the classroom she was assigned. You may consider staff members to either request someone to temporarily step into the room for another staff member to leave, or use a classroom telephone, walkie-talkie, or intercom system to communicate needs to other staff members or office staff during classroom operating hours. • Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground and cord was partially over the side of the counter where childen wash their hands in Space 1. It is important for all safety hazards to be eliminated from the classroom environment so children enrolled can explore the indoor and outdoor learning environments safely. These coffee machines will need to be removed from the classroom. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • All staff education must be up to date in DCDEE Works. • Consultation was given to teachers regarding the NCRLAP; a follow-up email with additional resources will also be sent following the visit. • The following Child Care Rules were provided for reference regarding recording incident reports on incident log and screen time : • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e )(2)(4) Please schedule your lead water testing, due every three years. At the completion of the visit, this visit summary was reviewed with you. The visit summary and all documents will be emailed to Ms. Gwyn for final review and signature. 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@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

GS110-91 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 39 Completed Date: 3/27/2024 Age: From 4 To 5 Total Minutes: 365 Time In: 08:30 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced An unannounced annual compliance visit and rated license assessment was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, childcare consultant with Diamond Gwyn, Principal, and Sharon Leach, Lead Teacher. Pam Hauser, Licensing Supervisor, was also present for the visit. The initial purpose of today’s visit was to conduct a Routine Unannounced visit. However, upon arrival, Ms. Leach stated the program wanted to request the ERS be completed during their preparation year. Your program currently operates with a 5- Star license. Restrictions include first shift care, meets all enhanced requirements, and School Age equipment may not be used by preschool children. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92 % prior to today’s visit. All programs are required to maintain at least 75% compliance. A 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 songs, games, activities, and conversations with their teachers. I observed materials and activities that were available to the children in the classrooms. 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 the Creative Curriculum. The last annual compliance visit was conducted on 9/05/2023. A sanitation inspection was completed 3/06/2024 with a Superior classification. The last fire inspection was conducted 9/26/2023. 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 3/25/2024. A shelter in place and lockdown drill were documented on 3/25/2024. An outdoor inspection was documented on 3/05/2024. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. This was corrected during the visit. Storage of hazardous items was monitored today. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. This item was placed into locked storage during the visit. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. This cupboard was locked during the visit. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. This item was made inaccessible to children during the visit. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. The disinfectant wipes were disposed of, and the hand sanitizer was placed into locked storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. 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. In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. 10A NCAC 09 .0302(d)(4) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. The breakfast, lunch, and snack menus in Space 1 did not include the days for the last week of the month. 10A NCAC 09 .0901(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 1, one small bottle of Odoban disinfectant spray labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage, in a bathroom used by children enrolled. A large cupboard in Space 1 was observed to contain greater than five items labeled Keep Out of Reach of Children with additional warnings; this cupboard was latched, but not locked. A small container of Carmex lip ointment was observed in an unlocked teacher's desk drawer. A small bottle of hand sanitizer was observed in an unlocked filing cabinet drawer less than five feet from the ground in Space 12. A canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed greater than five feet from the ground, but in unlocked storage. .2820(b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. .0803(13)(a-e); .2318(3) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground in Space 1. .0604(e) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The health assessment for one child enrolled was not on file within 30 days after admission. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. GS110-91(1) 1775 NC Pre-K program staff/child ratios and group sizes were not met. A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. .3009 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A large clear cup with a fast food logo on the cup was observed on a counter in Space 3 to be partially filled with an orange beverage. A small, clear plastic bottle of Ginger-ale was also observed on a counter in Space 3. The first cup was disposed of and the Ginger-ale was placed in a cabinet for teacher storage during the visit. .0901(i) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. A signed annual review of the EPR plan was not on file for two existing staff members. .0607(e) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan observed on file for one child enrolled with an emergency inhaler 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) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One existing staff member did not have a record of Health and Safety training on file for review. .1103(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 10-90(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 4/10/2024. 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-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 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. An additional unannounced follow-up visit will also be made to monitor staff: child ratios. Technical assistance documented during today’s visit: • In Space 3, two children enrolled and present were not observed to be signed in on records for arrival and departure for today's date. The medication record for one child enrolled did not include the amount of medication given or the name and signature of the person giving the medication. A child was enrolled on 8/24/2023, and the date the health assessment was conducted was 10/02/2023. A signed annual review of the EPR plan was not on file for two existing staff members. The medical action plan observed on file for one child enrolled with an emergency inhaler 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 medication authorization for one child enrolled did not contain a date the authorization was signed by a parent. The medication authorizations for two children enrolled did not contain the specific medical condition for which the medication was being administered. One existing staff member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One existing staff member did not have a record of Health and Safety training on file 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 of care of children enrolled. You may consider creating a routine schedule for monitoring all program, staff, and children’s files to ensure all records remain complete and current. • A staff member in Space 1 left the classroom two times during the visit, leaving the other staff member with 13 children. Maintaining staff: child ratios is critical to providing appropriate supervision at all times to ensure children remain safe and follow required permit restrictions. Ms. Hauser asked the staff member during the visit if someone else was in the room with the other teacher. The staff member did not verbally respond, but she turned around and returned to her classroom. Two staff are required to maintain staff/child ratios in the classroom she was assigned. You may consider staff members to either request someone to temporarily step into the room for another staff member to leave, or use a classroom telephone, walkie-talkie, or intercom system to communicate needs to other staff members or office staff during classroom operating hours. • Two coffee pots, both of which were turned on, were observed on a counter less than five feet from the ground and cord was partially over the side of the counter where childen wash their hands in Space 1. It is important for all safety hazards to be eliminated from the classroom environment so children enrolled can explore the indoor and outdoor learning environments safely. These coffee machines will need to be removed from the classroom. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • All staff education must be up to date in DCDEE Works. • Consultation was given to teachers regarding the NCRLAP; a follow-up email with additional resources will also be sent following the visit. • The following Child Care Rules were provided for reference regarding recording incident reports on incident log and screen time : • 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) • 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e )(2)(4) Please schedule your lead water testing, due every three years. At the completion of the visit, this visit summary was reviewed with you. The visit summary and all documents will be emailed to Ms. Gwyn for final review and signature. 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@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0302 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0508 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0510 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0604 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0605 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .0803 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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 .3009 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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

G.S. 110-91 · Violation

Name of Operation: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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: KIMBERLEY PARK ELEMENTARY SCHOOL PRE-K PROGRAM Facility ID: 34000936 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 37 Completed Date: 9/5/2023 Age: From 4 To 5 Total Minutes: 390 Time In: 08:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced 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 11, 12, and 13 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Thresa Cole, Assistant Teacher, Caprina Calaway, Lead Teacher, and Tracy Phillips, Lead Teacher. Lead Teacher, Sharon Leach was not present in the classroom today, but did stop by the classroom during my visit. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, meets all enhanced requirements, plus reduced ratios minus one. A restriction will be placed on the license following the visit stating “School Age equipment cannot be used by preschool children”. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. Ms. Diamond Cotton, Principal, stated she would email me the manufacturer’s instructions for the new playground equipment designated for use by children of preschool age. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. Grilled cheese sandwiches, sweet potato fries, apple juice, and milk were served to the children for lunch. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. Supervision was adequate during the visit. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. I observed positive interactions today. I observed children playing in activity centers, engaging in conversations, music and movement, and activities with their teachers, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 913/2022. A sanitation inspection was completed 1/17/2023 with a Superior classification. The last fire inspection was conducted on 9/27/2022. Program records and required postings were monitored. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. The last lockdown and shelter-in-place drill was documented on 3/08/2023. An outdoor inspection was documented on 9/01/2023. Staff files and children’s records were monitored per DCDEE procedures. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. The Public School Offsite Records Verification forms for Staff Records were not available for review. Storage of hazardous items was monitored today. One aerosol can of insect repellant and one spray bottle of insect repellant, each labeled Keep Out of Reach of Children with additional warnings were observed in the First Aid bag in Room 13. One small bottle of body spray, one hand lotion, one container of deodorant, and one bottle of antacids, each labeled Keep Out of Reach of Children with additional warnings was observed in two staff desks in Room 12. Two bottles of hand sanitizer were observed stored less than five feet from the ground in Room 13. Each of these issues was corrected and placed in approved storage during the visit. Storage and administration of medication were monitored. Medication authorization was monitored. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. The program does not provide transportation, 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. The first day of school was 8/28/2023. The Environment Rating Scale score received on 5/14/2019 was 5.56. Your facility uses Creative Curriculum and implements the Teaching Strategies Gold activity plan format. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). Ms. Phillips stated Smart Start of Forsyth County conducted all developmental screenings for children enrolled prior to the beginning of the school year. To promote family engagement, the teachers hold parent-teacher conferences twice per year, communicate to parents regularly through Class Dojo and face-to-face at drop-off each morning, provide parents the opportunity to be a part of the PTA, and send weekly purple homework communication folders. Ms. Phillips stated that parents also make donations to the classroom for events such as birthdays. Teachers reach out to families via phone call on the second day that a child is absent to find out the reason for the absence, and they send Ready Rosie at-home activities to families to support the home/school partnership. 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 onsite for review today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified to be in compliance. The current NC Pre-K staff are lead teachers Sharon Leach, Tracy Phillips, and Caprina Calaway and Assistant Teachers Thresa Cole, Archie Bates, and Robin Brooks. A selection of files was monitored for completed health assessments and developmental screenings. All screenings and health assessments were either observed to be in compliance, or were still within the required 30-day time frame. 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. An updated Professional Development Plan, Health Questionnaire, Emergency Contact Information, Emergency Preparedness and Response Plan Review, and Emergency Medical Care Plan Review were not on file for review for one staff member. A record of Staff Orientation, ongoing training, signed receipt of Shaken Baby Head Trauma Policy, Health and Safety trainings and certificate of Recognizing and Responding to Suspicions of Child Abuse and Maltreatment were also not on file for review for one staff member. Updated Emergency Contact Information was not on file for the principal. Documentation of discussion of the Parent Participation Plan with the parent at enrollment that a copy was received was not on file for three children enrolled. A copy of the Parent Participation Plan was also not posted in any of the three classrooms for review. The signed receipt of the Discipline Policy for one child enrolled was not on file for review. A copy of the developmental screening was not observed on file for six children enrolled. Manufacturer's instructions for new stationary playground equipment used by preschool children was not on file for review. A fire drill was conducted on 8/30/2023. A fire drill for May or June, 2023 were not recorded. A lockdown and shelter-in-place drill was not documented for January, 2023. G.S. 110-91(9); .0304(g); .2318 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. One child in Room 12 and two children in Room 13 did not have a time of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. A cracked, plastic clear bin was observed on the playground on top of the sand and water table and sharp to the touch. A shed located within the fenced area at the back, right side of the playground (facing away from the building), was observed to have plastic siding at the bottom which was observed to be cracked and sharp to the touch in greater than three places. Additionally, a wooden board which became detached from the shed exposed a protruding screw, observed to be sharp to the touch. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. The medication authorization form for the emergency medication for one child enrolled in Room 12 was not on file for review. 10A NCAC 09 .0803(4)(6-9) 1775 NC Pre-K program staff/child ratios and group sizes were not met. The lead teacher was absent today, and the assistant teacher was present in Room 11 with thirteen children four and five years of age. .3009 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 September 19, 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 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 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. An unannounced follow-up visit will be made to monitor staff/child ratio requirements. Technical assistance provided during today’s visit: • Please add a copy of the site’s Critical Incident Plan (for Winston Salem Forsyth County Schools) to each classroom file containing lockdown procedures, tornado procedures, emergency protocol, etc. • Please review your Staff and Training worksheet and staff files in detail to ensure all recorded information is accurate and up to date. • Please correct the Staff: Child ratio listed on the worksheet posted in Room 12 to reflect 1:9. • Please ensure documentation is on file for the Principal regarding the following: On-going training hours, date of training for staff on Critical Incident Plan, and Emergency Information. • Please repair the bottom drawers of the plastic teacher’s set of drawers in Space 12. • Please review all children’s files to ensure that all required documentation is present in each file. • Please review all staff members’ training hours to ensure that all hours completed are on file for review. • Please ensure that the most updated education information is entered into DCDEE Works for all staff members. • Please also ensure that all NCPK staff members are entered into the NCPK Plan. - Please post a copy of the Emergency Medical Care Plan outside (or inside) Room 11. • Please monitor the playground fencing for developing rust. • Please monitor the playground for trash and/or debris prior to the children’s use. • Please ensure menus are posted in each classroom no later than the beginning of the school day on the 1st of every month. • Please add at least one additional literacy activity to the reading center in Room 12. • Please ensure Emergency Drill Logs have each section fully completed after each fire drill and/or lockdown/shelter-in-place drill. • The following Child Care Rules and Child Care Sanitation Rules were thoroughly discussed and reviewed with Ms. Cotton, Principal during the visit: 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without re-contaminating hands. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 10A NCAC 09 .3009 STAFF-TO-CHILD RATIO AND CLASS SIZE The classroom shall not exceed a maximum staff-to-child ratio of one to nine with a maximum class size of 18 children, with at least one teacher and one teacher assistant per classroom. A classroom of nine children or less shall have at least one teacher. 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, 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