10A NCAC 09 .0601 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 24 Completed Date: 9/16/2025 Age: From 4 To 4 Total Minutes: 245 Time In: 10:10 AM Time Out: 02:15 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 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Brittany Maynor, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, engaging 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 9/26/2024. A sanitation inspection was completed 12/19/2024 with a Superior classification. The last fire inspection was conducted on 2/11/2025; a copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/09/2025. The most recent shelter-in-place/ lockdown drills was documented on 4/22/2025. An outdoor inspection was documented on 8/21/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitored. Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Brittany Maynor, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scales score received on 2/16/2018 was 5.68. 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. One child enrolled in Room 103 did not have a record of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed located greater than five feet from the ground on top of a set of shelves, but in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The child application for one child enrolled in Room 103 did not contain a parent signature. 10A NCAC 09 .0801(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The subject medical condition and valid to and from dates were not observed on the medication authorization form for one child enrolled in Space 103. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. Ms. Fuller stated she was unaware the nest was there and that she would place a work order immediately to have it removed. You may consider adding this item to your monthly playground inspection. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. The application for one child enrolled was not signed by a parent. It is important for all emergency drills to occur and be practiced as required to ensure children are familiar with what to do to remain safe in the event of an emergency. It is also imperative for all required documentation to be complete and on file for each child at all times. You may consider creating an email, calendar, or phone reminder to help ensure these drills are completed every three months and schedule routine file checks to ensure all documentation is accurate and on file. Consultation Provided During Visit: • Ms. Johnson will need to complete 4.5 hours of on-going training by 9/26/25 and place a record of training hours file for Beginning of Year Preschool for Professional Development on file. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 24 Completed Date: 9/16/2025 Age: From 4 To 4 Total Minutes: 245 Time In: 10:10 AM Time Out: 02:15 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 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Brittany Maynor, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, engaging 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 9/26/2024. A sanitation inspection was completed 12/19/2024 with a Superior classification. The last fire inspection was conducted on 2/11/2025; a copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/09/2025. The most recent shelter-in-place/ lockdown drills was documented on 4/22/2025. An outdoor inspection was documented on 8/21/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitored. Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Brittany Maynor, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scales score received on 2/16/2018 was 5.68. 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. One child enrolled in Room 103 did not have a record of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed located greater than five feet from the ground on top of a set of shelves, but in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The child application for one child enrolled in Room 103 did not contain a parent signature. 10A NCAC 09 .0801(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The subject medical condition and valid to and from dates were not observed on the medication authorization form for one child enrolled in Space 103. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. Ms. Fuller stated she was unaware the nest was there and that she would place a work order immediately to have it removed. You may consider adding this item to your monthly playground inspection. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. The application for one child enrolled was not signed by a parent. It is important for all emergency drills to occur and be practiced as required to ensure children are familiar with what to do to remain safe in the event of an emergency. It is also imperative for all required documentation to be complete and on file for each child at all times. You may consider creating an email, calendar, or phone reminder to help ensure these drills are completed every three months and schedule routine file checks to ensure all documentation is accurate and on file. Consultation Provided During Visit: • Ms. Johnson will need to complete 4.5 hours of on-going training by 9/26/25 and place a record of training hours file for Beginning of Year Preschool for Professional Development on file. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 24 Completed Date: 9/16/2025 Age: From 4 To 4 Total Minutes: 245 Time In: 10:10 AM Time Out: 02:15 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 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Brittany Maynor, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, engaging 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 9/26/2024. A sanitation inspection was completed 12/19/2024 with a Superior classification. The last fire inspection was conducted on 2/11/2025; a copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/09/2025. The most recent shelter-in-place/ lockdown drills was documented on 4/22/2025. An outdoor inspection was documented on 8/21/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitored. Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Brittany Maynor, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scales score received on 2/16/2018 was 5.68. 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. One child enrolled in Room 103 did not have a record of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed located greater than five feet from the ground on top of a set of shelves, but in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The child application for one child enrolled in Room 103 did not contain a parent signature. 10A NCAC 09 .0801(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The subject medical condition and valid to and from dates were not observed on the medication authorization form for one child enrolled in Space 103. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. Ms. Fuller stated she was unaware the nest was there and that she would place a work order immediately to have it removed. You may consider adding this item to your monthly playground inspection. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. The application for one child enrolled was not signed by a parent. It is important for all emergency drills to occur and be practiced as required to ensure children are familiar with what to do to remain safe in the event of an emergency. It is also imperative for all required documentation to be complete and on file for each child at all times. You may consider creating an email, calendar, or phone reminder to help ensure these drills are completed every three months and schedule routine file checks to ensure all documentation is accurate and on file. Consultation Provided During Visit: • Ms. Johnson will need to complete 4.5 hours of on-going training by 9/26/25 and place a record of training hours file for Beginning of Year Preschool for Professional Development on file. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/16/2025 Number Present: 24 Completed Date: 9/16/2025 Age: From 4 To 4 Total Minutes: 245 Time In: 10:10 AM Time Out: 02:15 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 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Brittany Maynor, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 89% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, playing outdoors, engaging 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 9/26/2024. A sanitation inspection was completed 12/19/2024 with a Superior classification. The last fire inspection was conducted on 2/11/2025; a copy of this inspection was provided to me during the visit. Program records and required postings were monitored. A fire drill was conducted on 9/09/2025. The most recent shelter-in-place/ lockdown drills was documented on 4/22/2025. An outdoor inspection was documented on 8/21/2025. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Three children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitored. Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Brittany Maynor, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/13/2025. The environment rating scales score received on 2/16/2018 was 5.68. 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. One child enrolled in Room 103 did not have a record of arrival recorded. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One canister of disinfectant wipes labeled Keep Out of Reach of Children with additional warnings was observed located greater than five feet from the ground on top of a set of shelves, but in unlocked storage. .2820(b) 1303 Application was not signed by the parent. The child application for one child enrolled in Room 103 did not contain a parent signature. 10A NCAC 09 .0801(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. .0604(u);.0302(d)(8) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The subject medical condition and valid to and from dates were not observed on the medication authorization form for one child enrolled in Space 103. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 9/30/2025. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: On the playground used by children enrolled, a wasp nest with live wasps inside was observed on the underside of the plastic roof of the nonstationary playhouse while children were outside playing. Ms. Fuller stated she was unaware the nest was there and that she would place a work order immediately to have it removed. You may consider adding this item to your monthly playground inspection. The most recent shelter-in-place/ lockdown drill was conducted on 4/22/2025. The application for one child enrolled was not signed by a parent. It is important for all emergency drills to occur and be practiced as required to ensure children are familiar with what to do to remain safe in the event of an emergency. It is also imperative for all required documentation to be complete and on file for each child at all times. You may consider creating an email, calendar, or phone reminder to help ensure these drills are completed every three months and schedule routine file checks to ensure all documentation is accurate and on file. Consultation Provided During Visit: • Ms. Johnson will need to complete 4.5 hours of on-going training by 9/26/25 and place a record of training hours file for Beginning of Year Preschool for Professional Development on file. As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 28 Completed Date: 3/25/2025 Age: From 4 To 5 Total Minutes: 165 Time In: 11:35 AM Time Out: 02:20 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 Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license effective 6/07/18. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 90% 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 with their teachers, participating in general routines, playing outdoors and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/23/2025. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 12/15/2024. Ms. Fuller also stated a more recent shelter-in-place drill had been completed, but just had not been recorded yet. The most recent fire inspection was on 9/16/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/19/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check Qualification letter for a staff member in Room 101 was observed to have expired on 2/25/2025. G.S. 110-90.2(b) & .2703(n)&(o) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/08/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The Criminal Background Check Qualification letter for V. De Solis, Teacher Assistant in Room 101, was observed to have expired on 2/25/2025. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. Ms. Fuller stated she was not aware this CBC had expired. Ms. Solis stated she would begin the application process to renew her qualification online this afternoon and that she would go and have her fingerprints completed tomorrow morning, 3/26/2025. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Fuller during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (b)(c)(g) regarding medication authorization of topical ointments • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) regarding subject medical conditions or allergic reactions • All children’s water bottles should be clearly labeled with a first and last name. • If children are responsible for recording their own screen time use, please also include a copy of this form completed by the teacher. • Please monitor the handles on the outdoor plastic storage closet for developing rust. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 28 Completed Date: 3/25/2025 Age: From 4 To 5 Total Minutes: 165 Time In: 11:35 AM Time Out: 02:20 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 Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license effective 6/07/18. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 90% 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 with their teachers, participating in general routines, playing outdoors and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/23/2025. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 12/15/2024. Ms. Fuller also stated a more recent shelter-in-place drill had been completed, but just had not been recorded yet. The most recent fire inspection was on 9/16/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/19/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check Qualification letter for a staff member in Room 101 was observed to have expired on 2/25/2025. G.S. 110-90.2(b) & .2703(n)&(o) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/08/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The Criminal Background Check Qualification letter for V. De Solis, Teacher Assistant in Room 101, was observed to have expired on 2/25/2025. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. Ms. Fuller stated she was not aware this CBC had expired. Ms. Solis stated she would begin the application process to renew her qualification online this afternoon and that she would go and have her fingerprints completed tomorrow morning, 3/26/2025. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Fuller during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (b)(c)(g) regarding medication authorization of topical ointments • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) regarding subject medical conditions or allergic reactions • All children’s water bottles should be clearly labeled with a first and last name. • If children are responsible for recording their own screen time use, please also include a copy of this form completed by the teacher. • Please monitor the handles on the outdoor plastic storage closet for developing rust. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 28 Completed Date: 3/25/2025 Age: From 4 To 5 Total Minutes: 165 Time In: 11:35 AM Time Out: 02:20 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 Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license effective 6/07/18. Restrictions include 1st shift care, meets enhanced ratios; meets enhanced space; and meets enhanced ratios minus one. The program’s compliance history was 90% 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 with their teachers, participating in general routines, playing outdoors and napping during the visit. No new staff members were reported at this program. Storage and administration of medication and medication authorization were monitored. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 2/23/2025. A fire drill was recorded 3/04/2025. A shelter-in-place for the facility was recorded 12/15/2024. Ms. Fuller also stated a more recent shelter-in-place drill had been completed, but just had not been recorded yet. The most recent fire inspection was on 9/16/2024; a copy of this inspection was provided to me during the visit. I observed a sanitation inspection was last conducted on 12/19/2024 earning a Superior classification. The program does not participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check Qualification letter for a staff member in Room 101 was observed to have expired on 2/25/2025. G.S. 110-90.2(b) & .2703(n)&(o) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 4/08/25. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. An unannounced follow up visit will be conducted to monitor Criminal Background Check requirements. Technical Assistance Provided During Visit: The Criminal Background Check Qualification letter for V. De Solis, Teacher Assistant in Room 101, was observed to have expired on 2/25/2025. It is imperative for required staff Criminal Background Checks to be current at all times to ensure the safety of children enrolled. Ms. Fuller stated she was not aware this CBC had expired. Ms. Solis stated she would begin the application process to renew her qualification online this afternoon and that she would go and have her fingerprints completed tomorrow morning, 3/26/2025. You may consider creating a calendar reminder for the expiration date of each staff member’s CBC qualification letter approximately 6 months prior to each expiration date. In Room 101 (Space 1), the medication authorization form for one child enrolled with an emergency medication was not observed to include the subject medical conditions or allergic reactions; this information was added to the medication authorization during the visit. Consultation Provided During Visit: The following Child Care Rule was discussed with Ms. Fuller during the visit: • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (b)(c)(g) regarding medication authorization of topical ointments • 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) regarding medical action plans • 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) regarding subject medical conditions or allergic reactions • All children’s water bottles should be clearly labeled with a first and last name. • If children are responsible for recording their own screen time use, please also include a copy of this form completed by the teacher. • Please monitor the handles on the outdoor plastic storage closet for developing rust. North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit was reviewed with and provided to you. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Thank you for your time and assistance during this visit. At the completion of the visit, this visit summary, enrollment worksheet, and monitoring checklist were provided to you. Contact me, Cara McKeown, Child Care Consultant, at (336) 408-4849 or cara.mckeown@dhhs.nc.gov or Pamela Hauser, Licensing Supervisor, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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 .2508 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: CARA MCKEOWN-STEWART Operation Type: Center Case Number: Visit Date: 9/26/2024 Number Present: 33 Completed Date: 9/26/2024 Age: From 4 To 5 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements, including compliance with requirements located in Child Care Rule Section .3000 in Rooms 101 and 103 where children participating in the NC Pre-K program are cared for. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant with Tiffany Fuller and Shada King, Lead Teachers. Your program currently operates with a 5-Star license. Restrictions include 1st shift care and meets all enhanced requirements, plus reduced ratios minus one. This facility is operated by Winston Salem Forsyth County Schools. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed children playing in activity centers, engaging in conversations and activities with their teachers, taking a leaf walk outdoors and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the children in the classrooms. The last annual compliance visit was conducted on 10/10/2023. A sanitation inspection was completed 3/22/2024 with a Superior classification. The last fire inspection was conducted on 9/16/2024. Program records and required postings were monitored. A fire drill was conducted on 9/24/2024. A shelter-in-place/ lockdown drill was documented on 9/13/2024 and 9/18/2024, respectively. An outdoor inspection was documented on 8/29/2024. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Two children enrolled were reported to have an emergency medication onsite during facility operating hours, and required documentation for medication was monitor Ms. Fuller 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 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 first day a child is absent to find out the reason for the absence. Teachers also send weekly newsletters and use Class Dojo to send pictures and messages to parents, as well as having face-to-face contact in the mornings and afternoons. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today, as Ms. Fuller stated it has been received from the NCPK contractor, and is in the process of being completed; Ms. Fuller shared she would email me a copy of this completed tool once it has been received. 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, Tiffany Fuller and Shada King, and teachers, Vianey Solis and Teresa Johnson. A selection of files was monitored for completed health assessments and developmental screenings. ASQ screenings were observed to be completed for children enrolled in each classroom. The site uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress; the first checkpoints for students enrolled will be completed in October. The checkpoint assessments are conducted three times per year: at the beginning, middle and end of the school year (October, February, and May). The first day of school was 8/12/2024. The environment rating scale score received on 2/16/2018 was 5.68. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. On the playground, two corners of the plastic bike track were observed to be cracked. G.S. 110-91(6); .0601(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 103 was observed without a safety cover in the reading center. 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. Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The emergency medication for one child enrolled did not have its original container. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medication authorization form for one child enrolled in Space 103 with an emergency medication did not include the subject medical conditions or allergic reactions. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not observed on file for May or June of 2024. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid training was not completed for one staff member in Space 103. .1102(c) 1767 The health assessment did not include a vision screening. The vision screening for one child enrolled were not observed on file for review. .3005 (a)(3) 1768 The health assessment did not include a hearing screening. The hearing screening for one child enrolled were not observed on file for review. .3005 (a)(4) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. .0801(b) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. .1103(b) Compliance documentation: You must correct the violations found during today's visit immediately and send me documentation verifying compliance on or before 10/10/2024. The following information must be included in your compliance letter: • each violation number, • how you corrected each violation, • what plan will be implemented to prevent each violation from occurring again, • the name of your center, • facility ID number, • date, • title of the person who signs the letter If you state in your Compliance Letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Visit: Two bottles of baby oil, each labeled Keep Out of Reach of Children with additional warnings, was observed inside an unlocked cabinet in Space 101; these bottles were placed into locked storage during the visit. One small bottle of Zyrtec was observed in an unlocked drawer of the desk used by a staff member in Space 101. This drawer was locked during the visit. The desk drawer of one staff member in Space 103 was observed to contain items required to be in locked storage. The staff member stated the drawer had recently had issues with locking and had recently been fixed; this drawer was locked during the visit. One outlet in Space 103 was observed without a safety cover in the reading center; a safety cover was placed in this outlet during the visit. On the playground, two corners of the plastic bike track were observed to be cracked. It is essential for equipment in the outdoor learning environment to be in good repair for children to explore in and engage with. Ms. Fuller stated she was unaware these issues were present on the playground. I emailed her photographs of the issues to make these easier for maintenance to identify during the visit. You may consider adding this item to your monthly playground inspection. A medication authorization form for one child enrolled with an emergency medication did not include the subject medical conditions or allergic reactions. A medical action plan for one child enrolled did not include the medication to be administered on an emergency basis with symptoms, and instructions. Developmental screenings were not available for review during the visit for any of the children enrolled. The vision and hearing screening for one child enrolled were not observed on file for review. The emergency medication for one child enrolled did not have its original container. First Aid training was not completed for one staff member in Space 103. Health & Safety Training topic number 6, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants was not on file for review for one staff member in Space 103. A playground inspection was not observed on file for May or June of 2024. A lockdown/shelter-in-place drill was completed on 4/10/2024; the next time these drills were completed were on 9/13/2024 and 9/18/2024, respectively. Ms. King stated the parent was in process of obtaining a new prescription and box for this medication and that she had just followed up with the parent regarding this yesterday. The staff member stated she was not aware her current CPR training did not include the requirements for First Aid. Ms. King stated a vision screening is scheduled to be conducted at the program on 10/08/2024. It is imperative that all required records are current and onsite for review at all times to ensure the health, safety, and quality care of children enrolled. Ms. Fuller and Ms. King stated they were not aware certain forms were not accurate or that they were not on file. You may consider thoroughly reviewing all requirements for medication authorization to ensure not only that all required documentation has been received from the parent, but also that all required information is included on forms received from parents and/or medical professionals. You may also consider setting a routine schedule to monitor children's files more frequently as school starts to ensure all required documentation is on file. Additionally, I encourage you to set an email/phone reminder to conduct shelter-in-place/lockdown drills every three months. Consultation Provided During Visit: The following Child Care Rules were reviewed with Ms. Fuller during the visit: 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e ) 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a)(6) 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a)(j) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. 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: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 23 Completed Date: 5/29/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements during a routine unannounced visit. The visit was conducted by Audrey Davis, child care consultant with Tiffany Fuller and Shada King, lead teachers. Zachary Baker, principal, was on site and available to assist as needed. This facility is operated by Winston-Salem Forsyth County Schools. Your program currently operates two classrooms with a five star license effective 6/7/18. Restrictions include daytime care, meets enhanced space, enhanced ratios, and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was completed 4/30/24. A fire drill was last documented 5/8/24 and a and a lockdown drill on 4/10/24. I observed a sanitation inspection last conducted on 3/22/24 earning a Superior classification with 4 demerits. A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. The following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan & EPR • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. 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 Tiffany Fuller and Shada King. Teacher assistants are Vianey Solis and T. Johnson. A selection of children’s files was monitored for compliance with NC Pre-K requirements. 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. Ms. Fuller stated you conduct three checkpoint assessments are conducted per year. The classroom operates from 7:30a.m. to 2:25p.m. Parent conferences are held two times per year in addition to 2 home visits per year You stated you use phone calls, the Class Dojo app, newsletters, and arrival and departure face to face conversations to communicate with parents. You stated that you incorporate family engagement by inviting parents to participate in celebration of learning events following each study, reading to the class and invitations to participate in schoolwide activities. Storage of hazardous items was monitored today and are stored in locked classroom closets. No new staff were reported at this program since your last annual compliance visit. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Two violations were observed during today’s visit and revieewed with you as follows: 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. 5 children present in room 101 had not been signed in. 10A NCAC 09 .0302(d)(4) 1767 The health assessment did not include a vision screening. Vision screenings were not on file for Pre-K children in room 101. .3005 (a)(3) Child Care programs are expected to be in compliance at all times and are required to maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before June 12, 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov 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. • I am requesting your staff and training worksheet completed and sent to me by September 10, 2024 so I may prepare for your fall annual compliance visit. Please also email a copy of your fire marshal’s fire inspection conducted within the past year. • If you maintain records off-site, be sure to add any substitute teachers to your off-site records verification form initialed by the principal. When substitutes are counted in the staff/ child ratio during DCDEE visits, required information for the substitute will be requested by the consultant. • CPR and First Aid certifications are required to be renewed prior to the expiration date on the card. First Aid must be listed on the card to receive credit for first aid training. For each child transported by bus, the parent permission authorization must include the times of day the child is transported and the destinations. If the child is transported to the child’s home – the child’s home address should be on the form. At the completion of the visit, this visit summary was reviewed with from my computer screen and emailed to you. Resuming the Rated License: Your facility was assigned to Cohort 1 to Resume the Rated License Reassessment This means your preparation year for the rated license ends June 30th and your assessment year begins July 1, 2024 through June 20, 2025. Your points and stars will be reassessed between July 1, 2024 and June 30, 2 You voluntarily requested the ERS during your prep year and scored 4.78 You stated you plan to repeat the scales when school reopens from summer break. Your score will be used to help determine points in the program component of the rated license. Education - You stated all staff education is up to date in WORKS and you expect to maintain 7 points in the education component. Stay in touch with me and send me a completed rated license application when you are ready to be assessed. Also, visit the DCDEE website and review the Quality Point form to decide if you would like to select a quality point. Thank you for your time and assistance during today’s visit. If you have any questions about this visit, please contact me or my supervisor using the information below: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3009 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 5/29/2024 Number Present: 23 Completed Date: 5/29/2024 Age: From 4 To 5 Total Minutes: 150 Time In: 11:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements during a routine unannounced visit. The visit was conducted by Audrey Davis, child care consultant with Tiffany Fuller and Shada King, lead teachers. Zachary Baker, principal, was on site and available to assist as needed. This facility is operated by Winston-Salem Forsyth County Schools. Your program currently operates two classrooms with a five star license effective 6/7/18. Restrictions include daytime care, meets enhanced space, enhanced ratios, and enhanced ratios minus one. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. A playground inspection was completed 4/30/24. A fire drill was last documented 5/8/24 and a and a lockdown drill on 4/10/24. I observed a sanitation inspection last conducted on 3/22/24 earning a Superior classification with 4 demerits. A walk-through of the facility was completed. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. The following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS (n/a) • Emergency Medical Care Plan & EPR • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. 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 Tiffany Fuller and Shada King. Teacher assistants are Vianey Solis and T. Johnson. A selection of children’s files was monitored for compliance with NC Pre-K requirements. 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. Ms. Fuller stated you conduct three checkpoint assessments are conducted per year. The classroom operates from 7:30a.m. to 2:25p.m. Parent conferences are held two times per year in addition to 2 home visits per year You stated you use phone calls, the Class Dojo app, newsletters, and arrival and departure face to face conversations to communicate with parents. You stated that you incorporate family engagement by inviting parents to participate in celebration of learning events following each study, reading to the class and invitations to participate in schoolwide activities. Storage of hazardous items was monitored today and are stored in locked classroom closets. No new staff were reported at this program since your last annual compliance visit. Limited monitoring of continuing staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. Two violations were observed during today’s visit and revieewed with you as follows: 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. 5 children present in room 101 had not been signed in. 10A NCAC 09 .0302(d)(4) 1767 The health assessment did not include a vision screening. Vision screenings were not on file for Pre-K children in room 101. .3005 (a)(3) Child Care programs are expected to be in compliance at all times and are required to maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before June 12, 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 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to Audrey.Davis@dhhs.nc.gov 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. • I am requesting your staff and training worksheet completed and sent to me by September 10, 2024 so I may prepare for your fall annual compliance visit. Please also email a copy of your fire marshal’s fire inspection conducted within the past year. • If you maintain records off-site, be sure to add any substitute teachers to your off-site records verification form initialed by the principal. When substitutes are counted in the staff/ child ratio during DCDEE visits, required information for the substitute will be requested by the consultant. • CPR and First Aid certifications are required to be renewed prior to the expiration date on the card. First Aid must be listed on the card to receive credit for first aid training. For each child transported by bus, the parent permission authorization must include the times of day the child is transported and the destinations. If the child is transported to the child’s home – the child’s home address should be on the form. At the completion of the visit, this visit summary was reviewed with from my computer screen and emailed to you. Resuming the Rated License: Your facility was assigned to Cohort 1 to Resume the Rated License Reassessment This means your preparation year for the rated license ends June 30th and your assessment year begins July 1, 2024 through June 20, 2025. Your points and stars will be reassessed between July 1, 2024 and June 30, 2 You voluntarily requested the ERS during your prep year and scored 4.78 You stated you plan to repeat the scales when school reopens from summer break. Your score will be used to help determine points in the program component of the rated license. Education - You stated all staff education is up to date in WORKS and you expect to maintain 7 points in the education component. Stay in touch with me and send me a completed rated license application when you are ready to be assessed. Also, visit the DCDEE website and review the Quality Point form to decide if you would like to select a quality point. Thank you for your time and assistance during today’s visit. If you have any questions about this visit, please contact me or my supervisor using the information below: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 (336)317-6514 Audrey.Davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/10/2023 Number Present: 34 Completed Date: 10/10/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Tiffany Fuller and Shada King, lead teachers. Zachary Baker, principal, was on site and available to assist as needed. Your program currently operates two classrooms with a five-star license issued 6/7/18. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus 1. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having outdoor and indoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in both classrooms. The last annual compliance visit was conducted 10/26/22. A sanitation inspection was conducted 3/27/23 with a Superior classification. The last fire inspection was conducted 9/18/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 9/7/23 and a lockdown emergency drill on 9/26/23. A playground inspection was last documented 9/25/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in a locked cabinet beneath the sink in the food preparation room which remains locked. Emergency medications were stored appropriately with signed authorization on file. Two children are transported daily from the facility to a local child care center. Transportation is provided by the child care facility. Four children live in the neighborhood and walk home daily. The children are escorted by school staff and handed off to the parents in the neighborhood. NC Pre-K requirements were monitored as follows: The program operates 6 hours and 55 minutes per day, Monday through Friday, 10 months per year. I confirmed this facility provides the following family engagement involvement activities: Volunteer in the classroom, and accompany the class on field trips once they are registered and approved to volunteer. ___ parent/teacher conferences two times per year plus home visits. ___ daily communication with parents by way of phone calls, face to face at dismissal and class Dojo. 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 Tiffany Fuller and Shada King and teacher assistants Vianey Solis and Teresa Hammond Johnson. The administrator is principal Zachary Baker. Lead teachers assigned to each of these spaces have NC B-K licenses and the administrator has a Level III NCECAC. A selection of children’s files was monitored for completed health assessments and developmental screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily times of departure were not documented for any of the Pre-K children. Arrival times for two children present in room 101 were not documented. 10A NCAC 09 .0302(d)(4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed statement was not on file verifying a substitute received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff's health questionnaires were filed in the same file with all other personnel documents that are maintained on site. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 October 24, 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) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Reminder: Health and Safety training topics are required to be completed every 5 years, and can also count as on-going training in the year they are taken. • Your facility is in Cohort 1 to resume the rated license assessment meaning you are currently in your preparation year through June 30, 2024. During the preparation year, you are to make sure all staff have an up-to-date WORKS account. During this year, decide if you are going to request the Environment Rating Scale to maintain your points in the program component of the rated license. Encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; request technical assistance from me and other local partners; if additional college coursework is needed to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. Your actual assessment year will be July 1, 2024 through June 30, 2025. You expressed interest today in requesting the scales during your preparation year and will submit the request review form. At the completion of today’s visit, this visit summary was reviewed with Shada King and Tiffany Fuller from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3009 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/10/2023 Number Present: 34 Completed Date: 10/10/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Tiffany Fuller and Shada King, lead teachers. Zachary Baker, principal, was on site and available to assist as needed. Your program currently operates two classrooms with a five-star license issued 6/7/18. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus 1. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having outdoor and indoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in both classrooms. The last annual compliance visit was conducted 10/26/22. A sanitation inspection was conducted 3/27/23 with a Superior classification. The last fire inspection was conducted 9/18/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 9/7/23 and a lockdown emergency drill on 9/26/23. A playground inspection was last documented 9/25/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in a locked cabinet beneath the sink in the food preparation room which remains locked. Emergency medications were stored appropriately with signed authorization on file. Two children are transported daily from the facility to a local child care center. Transportation is provided by the child care facility. Four children live in the neighborhood and walk home daily. The children are escorted by school staff and handed off to the parents in the neighborhood. NC Pre-K requirements were monitored as follows: The program operates 6 hours and 55 minutes per day, Monday through Friday, 10 months per year. I confirmed this facility provides the following family engagement involvement activities: Volunteer in the classroom, and accompany the class on field trips once they are registered and approved to volunteer. ___ parent/teacher conferences two times per year plus home visits. ___ daily communication with parents by way of phone calls, face to face at dismissal and class Dojo. 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 Tiffany Fuller and Shada King and teacher assistants Vianey Solis and Teresa Hammond Johnson. The administrator is principal Zachary Baker. Lead teachers assigned to each of these spaces have NC B-K licenses and the administrator has a Level III NCECAC. A selection of children’s files was monitored for completed health assessments and developmental screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily times of departure were not documented for any of the Pre-K children. Arrival times for two children present in room 101 were not documented. 10A NCAC 09 .0302(d)(4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed statement was not on file verifying a substitute received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff's health questionnaires were filed in the same file with all other personnel documents that are maintained on site. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 October 24, 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) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Reminder: Health and Safety training topics are required to be completed every 5 years, and can also count as on-going training in the year they are taken. • Your facility is in Cohort 1 to resume the rated license assessment meaning you are currently in your preparation year through June 30, 2024. During the preparation year, you are to make sure all staff have an up-to-date WORKS account. During this year, decide if you are going to request the Environment Rating Scale to maintain your points in the program component of the rated license. Encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; request technical assistance from me and other local partners; if additional college coursework is needed to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. Your actual assessment year will be July 1, 2024 through June 30, 2025. You expressed interest today in requesting the scales during your preparation year and will submit the request review form. At the completion of today’s visit, this visit summary was reviewed with Shada King and Tiffany Fuller from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: SMITH FARM ELEMENTARY SCHOOL PRE-KINDERGARTEN Facility ID: 34001252 Consultant: AUDREY DAVIS Operation Type: Center Case Number: Visit Date: 10/10/2023 Number Present: 34 Completed Date: 10/10/2023 Age: From 4 To 5 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this NC Pre-K site to monitor compliance with applicable childcare requirements. This visit was conducted by Audrey Davis, childcare consultant with Tiffany Fuller and Shada King, lead teachers. Zachary Baker, principal, was on site and available to assist as needed. Your program currently operates two classrooms with a five-star license issued 6/7/18. Restrictions include daytime care only; meets enhanced space; enhanced ratios and enhanced ratios minus 1. The license was observed, and the restrictions were found in compliance. This program is owned and operated by Winston-Salem Forsyth County Schools. The program’s compliance history was 88% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having outdoor and indoor play, group time, lunch, and rest. I observed developmentally appropriate materials and activities were available to the children in both classrooms. The last annual compliance visit was conducted 10/26/22. A sanitation inspection was conducted 3/27/23 with a Superior classification. The last fire inspection was conducted 9/18/23. You provided me with a copy of the fire inspection today. Program records and required postings were monitored. A fire drill was last documented on 9/7/23 and a lockdown emergency drill on 9/26/23. A playground inspection was last documented 9/25/23. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous products was monitored and are stored in a locked cabinet beneath the sink in the food preparation room which remains locked. Emergency medications were stored appropriately with signed authorization on file. Two children are transported daily from the facility to a local child care center. Transportation is provided by the child care facility. Four children live in the neighborhood and walk home daily. The children are escorted by school staff and handed off to the parents in the neighborhood. NC Pre-K requirements were monitored as follows: The program operates 6 hours and 55 minutes per day, Monday through Friday, 10 months per year. I confirmed this facility provides the following family engagement involvement activities: Volunteer in the classroom, and accompany the class on field trips once they are registered and approved to volunteer. ___ parent/teacher conferences two times per year plus home visits. ___ daily communication with parents by way of phone calls, face to face at dismissal and class Dojo. 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 Tiffany Fuller and Shada King and teacher assistants Vianey Solis and Teresa Hammond Johnson. The administrator is principal Zachary Baker. Lead teachers assigned to each of these spaces have NC B-K licenses and the administrator has a Level III NCECAC. A selection of children’s files was monitored for completed health assessments and developmental screenings. Your program was monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses The Creative Curriculum. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Daily times of departure were not documented for any of the Pre-K children. Arrival times for two children present in room 101 were not documented. 10A NCAC 09 .0302(d)(4) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed statement was not on file verifying a substitute received a review of the Prevention of Shaken Baby policy. .0608(d)(1-4) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Staff's health questionnaires were filed in the same file with all other personnel documents that are maintained on site. .0701(d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to 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 October 24, 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) • accurate, detailed description of how and when you corrected each violation You may email the letter to Audrey.Davis@dhhs.nc.gov or mail two copies of the letter to: Audrey Davis PO Box 17273 Winston-Salem, NC 27116 If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Reminder: Health and Safety training topics are required to be completed every 5 years, and can also count as on-going training in the year they are taken. • Your facility is in Cohort 1 to resume the rated license assessment meaning you are currently in your preparation year through June 30, 2024. During the preparation year, you are to make sure all staff have an up-to-date WORKS account. During this year, decide if you are going to request the Environment Rating Scale to maintain your points in the program component of the rated license. Encourage staff to participate in quality-related trainings sponsored by the CCR&R and Forsyth County Partnership for Children; request technical assistance from me and other local partners; if additional college coursework is needed to maintain your points in the education component, contact Forsyth Community College to discuss educational opportunities; review the NCRLAP website for Environmental Rating Scales resources at www.ncrlap.org; and you may want to consider requesting an Environmental Rating Scale during your preparation year. Your actual assessment year will be July 1, 2024 through June 30, 2025. You expressed interest today in requesting the scales during your preparation year and will submit the request review form. At the completion of today’s visit, this visit summary was reviewed with Shada King and Tiffany Fuller from my computer screen and emailed to you. If you have any questions about the visit, please contact me or my supervisor using the information below. Audrey Davis, Child Care Consultant (336)317-6514 Audrey.Davis@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ Thank you for your time and assistance today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times